Table 4. Identifying predictors of acute coronary syndrome in patients with GCA at incidence.
Variables | Hazard ratio (95% CI) | P-value |
---|---|---|
GCA symptoms and signs: | ||
PMR symptoms | 1.53 (0.66, 3.51) | 0.318 |
Fever >100 | 1.80 (0.71, 4.57) | 0.218 |
Weight loss | 0.41 (0.10, 1.74) | 0.225 |
Jaw claudication | 0.73 (0.32, 1.65) | 0.444 |
Scalp tenderness | 0.76 (0.33, 1.75) | 0.515 |
Tender temporal artery | 0.64 (0.22, 1.82) | 0.400 |
Temporal artery biopsy positivity# | 0.87 (0.19, 3.88) | 0.85 |
Transient vision loss | 1.16 (0.15, 8.79) | 0.888 |
Permanent vision loss* | - | - |
Bruit | 1.06 (0.14, 8.17) | 0.953 |
Aortitis* | - | - |
ESR, mm/hr | 1.01 (0.99, 1.02) | 0.245 |
Comorbidities: | ||
Smoking | 0.45 (0.16, 1.28) | 0.136 |
Hypertension before GCA incidence | 0.88 (0.36, 2.16) | 0.778 |
Diabetes mellitus before GCA incidence | 0.00 (0.00,) | 0.990 |
Coronary artery disease before GCA incidence | 0.31 (0.04, 2.39) | 0.262 |
Transient ischemic attack/stroke before GCA incidence | 1.92 (0.57, 6.49) | 0.293 |
Medications: | ||
Steroid sparing disease modifying agent use (time-dependent) | 1.36 (0.53, 3.53) | 0.524 |
Starting dose of glucocorticoid | 0.99 (0.96, 1.02) | 0.476 |
Cumulative glucocorticoid dose in the first year (per 1 gm increase) | 1.03 (0.86, 1.22) | 0.749 |
No patients with permanent vision loss or aortitis had acute coronary syndrome
89% of the GCA cohort was temporal artery biopsy positive