Table 3.
Multivariable-adjusted* hazards ratios (95% confidence interval) for the association of CAC and CIMT with hard CHD events stratified by family history of premature CHD
Hazard Ratios (95% CI) | Hard CHD Events | |||
---|---|---|---|---|
Negative FH | Positive FH | Negative FH | Positive FH | |
(n= 4863) | (n= 1262) | (n=176) | (n=67) | |
|
|
|||
CAC 0 | 1 (ref) | 1 (ref) | 30 | 13 |
CAC 1–99 | 2.35 (1.46–3.78) | 1.93 (0.91–4.10) | 47 | 18 |
CAC 100–399 | 3.54 (2.14–5.85) | 3.52 (1.58–7.84) | 48 | 18 |
CAC >400 | 4.87 (2.88–8.24) | 3.85 (1.65–9.02) | 51 | 18 |
p-value for interaction | 0.49 | |||
CIMT ≤50th percentile | 1 (ref) | 1 (ref) | 62 | 25 |
CIMT 51–75th percentile | 0.70 (0.46–1.08) | 1.02 (0.54–1.94) | 35 | 17 |
CIMT 76–90th percentile | 1.20 (0.79–1.84) | 1.29 (0.64–2.60) | 47 | 15 |
CIMT >90th percentile | 0.94 (0.58–1.52) | 0.87 (0.38–1.96) | 32 | 10 |
p-value for interaction | 0.51 | |||
ln (CAC+1) | 1.25 (1.17–1.35) | 1.22 (1.09–1.37) | ||
p-value for interaction | 0.39 | |||
Continuous CIMT | 1.30 (0.59–2.90) | 1.20 (0.35–4.13) | ||
p-value for interaction | 0.60 |
Adjusted for age, sex, race, MESA site, cigarette smoking, hypertension, diabetes mellitus, BMI, LDL-C, HDL-C, cholesterol lowering medications
Continuous CAC units are log-transformed Agatston Units, continuous CIMT units are per millimeter change in thickness
CHD – coronary heart disease
FH – family history of premature coronary heart disease
CAC – coronary artery calcium
CIMT – carotid intima-media thickness
BMI – body mass index
LDL-C – low density lipoprotein-cholesterol
HDL-C - high density lipoprotein-cholesterol