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Observational Study
. 2016 Jun 1;23(6):692-703.
doi: 10.5551/jat.31591. Epub 2016 Feb 18.

Serum Uric Acid and Mortality Form Cardiovascular Disease: EPOCH-JAPAN Study

Wen Zhang  1 , Hiroyasu Iso, Yoshitaka Murakami, Katsuyuki Miura, Masato Nagai, Daisuke Sugiyama, Hirotsugu Ueshima, Tomonori Okamura; EPOCH-JAPAN GROUP
Affiliations
Observational Study

Serum Uric Acid and Mortality Form Cardiovascular Disease: EPOCH-JAPAN Study

Wen Zhang et al. J Atheroscler Thromb. .

Erratum in

Abstract

Aim: To investigate the relationship between serum uric acid levels and cardiovascular disease in Asians.

Methods: We examined the above relationship using the data of Evidence for Cardiovascular Prevention from Observational Cohorts in Japan (EPOCH-JAPAN Study). The data of 36,313 subjects (15,628 men and 20,685 women aged 35-89 years without histories of stroke, coronary heart disease, or cancer at baseline) were used for the analyses. Sex-specific hazard ratios (HRs) of mortality from cardiovascular disease were estimated according to the quintiles of serum uric acid using Cox hazard models stratified by cohorts.

Results: During 441,771 person-years of follow-up, we documented 1,288 cardiovascular deaths. A J- or U-shaped relationship between serum uric acid level and cardiovascular disease mortality was observed. Compared with the lowest quintile of serum uric acid levels, the highest quintile was associated with an increased cardiovascular disease mortality in men [HR: 1.28; 95% confidence interval (CI): 1.01-1.63] and women (HR: 1.51; 95% CI: 1.14-1.99). However, there was no significant association with mortality from stroke, coronary heart disease or heart failure in both men and women.

Conclusion: This large pooled analysis in Japan suggested a J- or U-shaped relationship between serum uric acid levels and cardiovascular mortality. The highest quintile of serum uric acid levels was associated with increased cardiovascular disease mortality in both Japanese men and women.

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Figures

Fig. 1.
Fig. 1.
Fitting curve of association between serum uric acid and cardiovascular mortality in men.
Fig. 2.
Fig. 2.
Fitting curve of association between serum uric acid and cardiovascular mortality in women.
Supplementary Fig. 1.
Supplementary Fig. 1.
Fitting curve of association between serum uric acid and cardiovascular mortality in men censoring the first three years
Supplementary Fig. 2.
Supplementary Fig. 2.
Fitting curve of association between serum uric acid and cardiovascular mortality in women censoring the first three years
Fig. 3.
Fig. 3.
Sex-specific age–adjusted cardiovascular disease (CVD) mortality rates according to quintiles of serum uric acid levels.
See this image and copyright information in PMC

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