Serum endocan and circadian heart rate variability in non-dialysis stage 5 chronic kidney disease patients

摘要

BackgroundChronic kidney disease (CKD) is very common now and is associated with high overall and cardiovascular mortality. Numerous studies have reported that elevated heart rate (HR) is a risk factor for cardiovascular mortality. We investigated the link between serum endocan and circadian heart rate variability in non-dialysis stage 5 CKD patients.MethodsIn a cross-sectional study, we enrolled 54 prevalent n non-dialysis stage 5 CKD patients (32 males, aged 48.214.92years). HR was measured with an automatic system. Serum endocan level was analyzed by ELISA.ResultsNight/day HR ratio was independently predicted by serum endocan level (P0.01) and hypertension history (P0.05). Adjusted R-2 of the model was 0.222.Conclusion Increased serum endocan is significantly associated with circadian heart rate variability in non-dialysis stage 5 CKD patients. Further investigation is needed to explore the potential benefits of serum endocan lowering therapy in this patient group.