Research Article
Onset of Hyperkalemia following the Administration of Angiotensin-Converting Enzyme Inhibitor or Angiotensin II Receptor Blocker
Table 2
Causal relationship between hyperkalemia and antihypertensive drug use.
| | | | Univariate | Multivariate | Univariate | Multivariate | HR (95% CI) | value | HR (95% CI) | value | HR (95% CI) | value | HR (95% CI) | value |
| Antihypertensive drug | | | | | | | | | ACE inhibitor | 1.0 (reference) | | 1.0 (reference) | | 1.0 (reference) | | 1.0 (reference) | | ARB | 1.69 (0.68-4.24) | 0.261 | 1.33 (0.53-3.35) | 0.547 | 1.10 (0.33-3.69) | 0.878 | 0.84 (0.25-2.84) | 0.774 | Age | 0.99 (0.97-1.01) | 0.373 | | | 0.98 (0.96-1.01) | 0.246 | | | Age (≥60 years) | 0.76 (0.45-1.30) | 0.314 | | | 0.66 (0.29-1.50) | 0.322 | | | Female | 0.58 (0.32-1.05) | 0.073 | | | 0.36 (0.12-1.06) | 0.065 | | | BUN | 1.03 (1.03-1.04) | <.001 | | | 1.03 (1.02-1.04) | <.001 | | | Creatinine | 1.23 (1.17-1.29) | <.001 | | | 1.22 (1.14-1.31) | <.001 | | | Creatinine (>1.2 mg/dL) | 7.31 (4.19-12.76) | <.001 | | | 35.11 (8.25-149.52) | <.001 | | | MDRD | 0.96 (0.95-0.97) | <.001 | | | 0.95 (0.93-0.97) | <.001 | | | MDRD | | <.001 | | | | | | | ≥90 mL/min/1.73 m2 | 1.0 (reference) | | | | 1.0 (reference) | | | | 60-89 mL/min/1.73 m2 | 2.23 (0.63-7.90) | 0.214 | | | N/A | | | | <60 mL/min/1.73 m2 | 13.06 (4.05-42.10) | <.001 | | | N/A | | | | Sodium | 0.91 (0.88-0.95) | <.001 | | | 0.92 (0.87-0.98) | 0.014 | | | Comorbidity | | | | | | | | | Heart failure | 0.83 (0.12-6.02) | 0.856 | | | N/A | | | | Hypertensive disease | 1.77 (0.64-4.89) | 0.270 | | | 1.03 (0.14-7.63) | 0.977 | | | Ischemic heart disease | 0.25 (0.09-0.68) | 0.007 | | | 0.31 (0.07-1.31) | 0.112 | | | Cerebrovascular disease | 0.82 (0.26-2.63) | 0.742 | | | 1.40 (0.33-5.93) | 0.652 | | | Diabetes mellitus | 0.71 (0.17-2.93) | 0.640 | | | 0.89 (0.12-6.63) | 0.913 | | | Acute renal failure | 6.51 (3.76-11.29) | <.001 | 5.72 (3.24-10.12) | <.001 | 9.01 (3.99-20.37) | <.001 | 9.16 (4.02-20.88) | <.001 | Cancer | 0.45 (0.18-1.14) | 0.091 | | | 0.99 (0.34-2.89) | 0.979 | | | Medication | | | | | | | | | β-Blocker | 0.60 (0.30-1.19) | 0.143 | | | 0.42 (0.12-1.40) | 0.155 | | | CCB | 1.48 (0.87-2.50) | 0.149 | | | 2.36 (0.98-5.71) | 0.056 | | | Statin | 0.50 (0.29-0.86) | 0.013 | 0.68 (0.38-1.20) | 0.177 | 0.42 (0.18-1.03) | 0.057 | | |
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BUN, MDRD, and creatinine variables are omitted because of multicollinearity.
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