Heart failure & cardiomyopathies

Proteomics-Based Soluble Urokinase Plasminogen Activator Receptor Levels Are Associated With Incident Heart Failure Risk

JACC AdvPublished Prospective cohort study

Authors' conclusion

Independent of demographics, traditional risk factors, NT-proBNP, and CRP levels, proteomics-based suPAR levels were significantly associated with incident all-cause, ischemic, and nonischemic HF risk.

Study context

Population
UK Biobank participants without heart failure (HF) or CAD at enrolment
Participants
40,418 participants
Exposure
Proteomics-based soluble urokinase plasminogen activator receptor (suPAR) levels and incident HF
Outcome
Incident all-cause, ischemic and nonischemic HF
Follow-up
Median 13.7 (IQR: 1.5) years
Methodological detailsUK Biobank, competing-risk regression
  • UK Biobank
  • Competing-risk regression

Main finding

As reported in the abstract

Incident HF per 1-SD suPAR
suPAR per 1-SDSubdistribution hazard ratio (95% CI)
All-cause HF
1.37(1.29–1.46)
Ischemic HF
1.40(1.28–1.54)
Nonischemic HF
1.32(1.21–1.44)

Per 1-SD, as printed

Incident HF events
1,428 (3.5%)

Observational data: associations, not effects.

Further findings

Explained variability of incident HF risk, suPAR added to base risk factor model

R 2 with vs without suPAR
0.76 vs 0.73
P
P < 0.001

Original publication

Proteomics-Based Soluble Urokinase Plasminogen Activator Receptor Levels Are Associated With Incident Heart Failure Risk. JACC Adv. Published 9 December 2024. doi:10.1016/j.jacadv.2024.101442

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