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Risk factors for cardiovascular disease mortality in patients with myelodysplastic syndromes: A nationwide, registry-based cohort study.

Konstantinos LiapisGeorgios VrachioliasVasileios PapadopoulosAlexandra KourakliAthanasios G GalanopoulosMenelaos PapoutselisSotirios G PapageorgiouPanagiotis T DiamantopoulosVassiliki PappaNora-Athina ViniouTheodoros P VassilakopoulosEleftheria HatzimichaelEleni BouronikouMaria XimeriCharalambos PontikoglouPanayiotis PanayiotidisStamatis KarakatsanisAnna VardiArgiris SymeonidisIoannis Kotsianidis
Published in: EJHaem (2020)
Cardiovascular disease (CVD) emerges as a major cause of death in patients with myelodysplastic syndrome (MDS), but predictors of fatal CVD and the effect of MDS-specific treatments on CVD mortality remain largely unknown. In an analysis involving 831 patients with MDS with known causes of death, we noted an independent association of lower risk MDS, age >70 years, pre-existing CVD, and treatment with erythropoiesis-stimulating agents with a higher risk of death from CVD. If externally validated, these simple risk factors could increase clinicians' awareness toward CVD complications and guide early introduction of intensive monitoring and preventive interventions in MDS patients.
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