Table 2.
Associations of inflammatory measures and lipid measures with cardiovascular outcomes and mortality *#
| Outcome | CVD HR (95% CI) | Heart Failure HR (95% CI) | Mortality HR (95% CI) |
|---|---|---|---|
| Measure | |||
| Inflammatory measures ‡ | |||
| ESR, mm/hr | 1.20 (1.11, 1.31) | 1.23 (1.12, 1.35) | 1.22 (1.14, 1.31) |
| CRP, mg/L | 1.10 (0.99, 1.22) | 1.25 (1.06, 1.48) | 1.08 (1.01, 1.16) |
| Inflammatory Burden † | |||
| Lower ESR Tertile | 1 | 1 | 1 |
| Middle ESR Tertile | 2.44 (1.32, 4.48) | 1.28 (0.59, 2.76) | 5.84 (3.06, 11.1) |
| Upper ESR Tertile | 3.48 (1.89, 6.43) | 2.28 (1.15, 4.53) | 7.19 (3.77, 13.7) |
| (p-value) | (p-value < 0.001) | (p-value =0.055) | (p-value < 0.001) |
| Lipid measures | |||
| TCh, mmol/L | 0.96 (0.90, 1.02) | 0.92 (0.85, 0.99) | 0.96 (0.92, 1.02) |
| LDL, mmol/L | 0.95 (0.88, 1.02) | 0.95 (0.87, 1.04) | 0.98 (0.93, 1.04) |
| HDL, mmol/L | 1.13 (0.94, 1.35) | 1.35 (1.09, 1.68) | 1.10 (0.96, 1.27) |
| TG, mmol/L | 1.03 (1.00, 1.06) | 1.01 (0.97, 1.05) | 0.99 (0.96, 1.02) |
| TCh/HDL | 0.99 (0.78, 1.25) | 1.12 (0.86, 1.46) | 1.06 (0.88, 1.29) |
| LDL/HDL | 0.89 (0.66, 1.20) | 1.06 (0.77, 1.47) | 1.07 (0.85, 1.35) |
adjusting for age, sex and year of RA incidence
statistically significant associations (p<0.05) are shown in bold;
Hazard ratios for ESR are reported per 10 mm/hr increase, for CRP per 10 mg/dL increase
Cumulative ESR tertiles defined as follows: lower tertile (0 – 15,000 mm/hr); middle tertile (15,001 – 45,000 mm/hr); upper tertile (45,001 mm/hr and greater). For each outcome the lower tertile is the reference group.
Abbreviations: CVD = cardiovascular disease; HR = hazard ratio; ESR = erythrocyte sedimentation rate; CRP = C-reactive protein; TCh = total cholesterol; LDL = low density cholesterol; HDL = high density cholesterol; TG = triglycerides.