Evidence map›Paper›PMID 40558637›Full record

ArticleJournal of cardiovascular development and disease2025

The Role of Serum Uric Acid and Serum Creatinine Ratio as Possible Markers of Autonomic Dysfunction and Left Ventricular Mass Index in Atherosclerotic Renal Artery Stenosis.

Antonietta Gigante, Rosa Cascone, Chiara Pellicano, Francesco Iannazzo, Francesca Romana Gadaleta, Edoardo Rosato, Rosario Cianci

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Article in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Antonietta GiganteDepartment of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0002-2015-765X
Rosa CasconeDepartment of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Chiara PellicanoDepartment of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0003-1077-4846
Francesco IannazzoDepartment of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Francesca Romana GadaletaDepartment of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Edoardo RosatoDepartment of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0002-7417-8093
Rosario CianciDepartment of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0001-7886-8027

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerum uric acid and serum creatinine ratio (SUA/sCr) is strongly linked to increased cardiovascular risk. Atherosclerotic renal artery stenosis (ARAS) is a secondary cause of hypertension and is associated with ischemic nephropathy, congestive heart failure, accelerated cardiovascular disease, and autonomic dysfunction. The aim of this study was to investigate whether SUA levels and SUA/sCr could represent markers of autonomic dysfunction and increased left ventricular mass index (LVMI) in patients with ARAS.

methodsPatients diagnosed with ARAS were enrolled in the study. All patients underwent clinical evaluation, biochemical analysis, 24 h electrocardiogram (ECG), and Renal Doppler Ultrasound with renal resistive index parameters. Heart rate variability for global autonomic dysfunction was assessed through the analysis of a 24 h ECG to detect the standard deviation of normal-to-normal RR intervals (SDNN). Echocardiographic measurement of LVMI was performed.

resultsA total of 27 patients (F = 16 (59%), median age 67 years (IQR 60-77)) diagnosed with ARAS were enrolled in the study. We found a statistically significant negative linear correlation between SUA/sCr and SDNN (r = -0.519,

conclusionIn patients with ARAS, SUA/sCr is associated with autonomic dysfunction and LVMI in ARAS patients. The ratio and related cut-off value of SUA/sCr could represent a useful biomarker to evaluate cardiovascular risk in ARAS patients.

Indexed as

autonomic dysfunctionleft ventricular mass indexrenal artery stenosisuric aciduric acid/creatinine ratio

Identifiers

PMID40558637
PMCPMC12194173

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