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Creatinine vs cystatin C to estimate glomerular filtration rate in adults with congenital heart disease: Results of the Boston Adult Congenital Heart Disease Biobank

American Heart Journal Jun 19, 2019

Opotowsky AR, et al. - Researchers examined the link between estimated glomerular filtration rate (eGFR), calculated using either the creatinine or cystatin C Chronic Kidney Disease–Epidemiology Collaboration equation, and both all-cause death and a composite outcome of mortality or nonelective cardiovascular hospitalization in adults with congenital heart disease (ACHD) (39 ± 14 years old, 49% female). Among 911 ACHD patients, clinical events were more strongly predicted by cystatin C-based eGFR vs creatinine-based eGFR. Specifically, there were doubts regarding creatinine-based methods in the Fontan circulation.

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