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.

UnivariateMultivariateUnivariateMultivariate
HR (95% CI) valueHR (95% CI) valueHR (95% CI) valueHR (95% CI) value

Antihypertensive drug
 ACE inhibitor1.0 (reference)1.0 (reference)1.0 (reference)1.0 (reference)
 ARB1.69 (0.68-4.24)0.2611.33 (0.53-3.35)0.5471.10 (0.33-3.69)0.8780.84 (0.25-2.84)0.774
Age0.99 (0.97-1.01)0.3730.98 (0.96-1.01)0.246
Age (≥60 years)0.76 (0.45-1.30)0.3140.66 (0.29-1.50)0.322
Female0.58 (0.32-1.05)0.0730.36 (0.12-1.06)0.065
BUN1.03 (1.03-1.04)<.0011.03 (1.02-1.04)<.001
Creatinine1.23 (1.17-1.29)<.0011.22 (1.14-1.31)<.001
Creatinine (>1.2 mg/dL)7.31 (4.19-12.76)<.00135.11 (8.25-149.52)<.001
MDRD0.96 (0.95-0.97)<.0010.95 (0.93-0.97)<.001
MDRD<.001
 ≥90 mL/min/1.73 m21.0 (reference)1.0 (reference)
 60-89 mL/min/1.73 m22.23 (0.63-7.90)0.214N/A
 <60 mL/min/1.73 m213.06 (4.05-42.10)<.001N/A
Sodium0.91 (0.88-0.95)<.0010.92 (0.87-0.98)0.014
Comorbidity
 Heart failure0.83 (0.12-6.02)0.856N/A
 Hypertensive disease1.77 (0.64-4.89)0.2701.03 (0.14-7.63)0.977
 Ischemic heart disease0.25 (0.09-0.68)0.0070.31 (0.07-1.31)0.112
 Cerebrovascular disease0.82 (0.26-2.63)0.7421.40 (0.33-5.93)0.652
 Diabetes mellitus0.71 (0.17-2.93)0.6400.89 (0.12-6.63)0.913
 Acute renal failure6.51 (3.76-11.29)<.0015.72 (3.24-10.12)<.0019.01 (3.99-20.37)<.0019.16 (4.02-20.88)<.001
 Cancer0.45 (0.18-1.14)0.0910.99 (0.34-2.89)0.979
Medication
β-Blocker0.60 (0.30-1.19)0.1430.42 (0.12-1.40)0.155
 CCB1.48 (0.87-2.50)0.1492.36 (0.98-5.71)0.056
 Statin0.50 (0.29-0.86)0.0130.68 (0.38-1.20)0.1770.42 (0.18-1.03)0.057

BUN, MDRD, and creatinine variables are omitted because of multicollinearity.