Evidence map›Paper›PMID 40574997›Full record

ArticleAtherosclerosis plus2025

Association of uric acid with all-cause mortality in acute coronary syndrome patients with T2DM.

Bing-Yang Zhou, Jian-Jun Yan, Cui-Ying Zhang, Qi Zhang, Hong-Liang Cong, Le Wang

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Article in Atherosclerosis plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Bing-Yang ZhouTianjin University Chest Hospital, China.
Jian-Jun YanTianjin Chest Hospital, China.
Cui-Ying ZhangThoracic Clinical College, Tianjin Medical University, China.
Qi ZhangTianjin Chest Hospital, China.
Hong-Liang CongTianjin Chest Hospital, China.
Le WangTianjin Chest Hospital, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The specific prognostic value of hyperuricemia for all-cause mortality in patients with concurrent type 2 diabetes mellitus (T2DM) and acute coronary syndrome (ACS) remains unclear, particularly regarding the modifying effect of glycemic control status (HbA1c levels). This study elucidated the uric acid (UA)-mortality association in ACS patients with T2DM and examined this relationship across different HbA1c subgroups. Methods and results: The study included 2265 ACS patients with T2DM who were assigned to four groups based on UA quartiles. During a median follow-up period of 4.4 years, 203 all-cause deaths occurred. Significant positive associations were found in patients with HbA1c level above 7 (Quartile 1 group: Hazard Ratio (HR): 3.215, 95 % confidence interval (CI): 1.525-6.780, p = 0.002; Quartile 3 group: HR: 2.725, 95 % CI: 1.308-5.678, p = 0.007; Quartile 4 group: HR: 3.369, 95 % CI: 1.644-6.905, p = 0.001). Interaction analysis between UA quartiles and HbA1c subgroups showed no statistical significance (p-interaction = 0.648). Restricted cubic splines revealed a J-shaped relationship between UA and all-cause mortality. Kaplan-Meier analysis demonstrated higher event-free survival rates in the Quartile 2 group (log-rank test: p < 0.001). Conclusions: A J-shaped curve characterizes the association between UA levels and all-cause mortality in patients with T2DM and ACS. Patients with an appropriate UA level exhibited better prognosis. Post-hoc analyses revealed stronger point estimates for the prognostic effect of UA in patients with suboptimal glycemic control, although interaction testing did not achieve statistical significance. Further studies with larger subgroup samples are warranted.

Indexed as

Acute coronary syndromeAll-cause mortalityType 2 diabetes mellitusUric acid

Identifiers

PMID40574997
PMCPMC12197980

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.