Table 5.
Associations of Parathyroid Hormone (PTH) With Incident Preserved and Reduced Ejection Fraction (EF) Heart Failure in the Multi‐Ethnic Study of Atherosclerosis (N=6458)**
Number at Risk | Number of Events | Unadjusted Incidence Rate (per 1000 pys) | Model 1 | HR (95% CI) | ||
---|---|---|---|---|---|---|
Model 2 | Model 3 | |||||
Preserved EF | ||||||
PTH <65 pg/mL | 5683 | 47 | 1.1 | Ref | Ref | Ref |
PTH ≥65 pg/mL | 775 | 12 | 2.1 | 1.84 (1.00, 3.39) | 1.43 (0.76, 2.71) | 1.41 (0.74, 2.69) |
Reduced EF | ||||||
PTH <65 pg/mL | 5683 | 59 | 1.3 | Ref | Ref | Ref |
PTH ≥65 pg/mL | 775 | 24 | 4.2 | 2.66 (1.65, 4.29) | 1.92 (1.14, 3.25) | 1.90 (1.10, 3.30) |
Model 1: adjusted for age, sex, race/ethnicity, education. Model 2: Model 1+height, weight, smoking, physical activity level, diabetes, eGFR, urine ACR, systolic blood pressure, antihypertensive medications. Model 3: Model 2+calcium, phosphorus, FGF‐23, 25(OH)D. ACR indicates albumin to creatinine ratio; eGFR, estimated glomerular filtration rate; HR, hazard ratio; LVEF, left ventricular ejection fraction; pys, person years.
These analyses were based on a complete case approach in which participants with missing covariate data were excluded (rather than using multiple imputation for missing covariates as was done for the primary analyses).
One participant did not have LVEF information at the time of hospitalization and so was excluded from this analysis.