Cardiometabolic & kidney

Low-grade inflammation and cardiovascular events among patients with chronic kidney disease

Eur J Prev CardiolPublished prospective cohort study

Main finding · MACE (composite of stroke, myocardial infarction, or cardiovascular death)Result — go to the resultCause-specific hazard 12% 95% CI 0–26

Authors' conclusion

In CKD patients not yet on kidney replacement therapy, systemic low-grade inflammation, measured through hs-CRP, is associated with occurrence of cardiovascular events independently of traditional risk factors, including a history of ASCVD.

Study context

Population
Adults with chronic kidney disease (CKD) stages 2–5 not yet on kidney replacement therapypatients included
Participants
2,078 adults
Exposure
Twofold increase in baseline hs-CRP
Outcome
MACE:
  • Stroke
  • Myocardial infarction
  • Cardiovascular death
Follow-up
Median 5 years
Methodological details40 French nephrology outpatient facilities
  • 40 French nephrology outpatient facilities

Main finding

As reported in the abstract

Cause-specific hazard

12%

95% CI 0–26

Twofold increase in hs-CRP
cause-specific hazard 12% (95% CI 0–26)
Patients had a major adverse cardiovascular events (MACE)
171

Observational data: associations, not effects.

Further findings

Hospitalization for heart failure (HHF) · median follow-up of 5 years

ComparisonCause-specific hazard (95% CI)
Twofold increase in hs-CRPHigher; after controlling for potential confounders · after controlling for potential confounders26% (13–40)
Hospitalization for heart failure (HHF) — patients had HHF
207

Baseline characteristics

Men
67%
Mean (SD) age
67(13) years
Mean eGFR
36(12) mL/min/1.73 m²
History of atherosclerotic cardiovascular disease (ASCVD)
38%
Median hs-CRP concentration (inter-quartile range)
2.4 mg/L (1.1-5.1)

Original publication

Low-grade inflammation and cardiovascular events among patients with chronic kidney disease. Eur J Prev Cardiol. Published 22 October 2026. doi:10.1093/eurjpc/zwag538

Summarised from the published abstract; every number is checked against it

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