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Table 4 Cox Proportional Hazards for cardiac death among patients with hematological malignancies. Confidence: p < 0.0001, Concordance index: 0.83 for the Multivariate analysis

From: Differential cardiac impacts of hematological malignancies and solid tumors: a histopathological and biomarker study

 

Univariate

Multivariate

HR

CI

p Value

HR

CI

p Value

Demographics

 Age (n = 52)

1.04

0.99 – 1.09

0.10

   

 Female (n = 52)

1.13

0.45 – 2.83

0.80

   

 BMI (n = 46)

1.03

1.0 – 1.07

0.057

   

 Tobacco use (n = 49)

1.21

0.49 – 2.98

0.67

   

Cardiac biomarkers

 Ejection fraction (n = 37)

0.98

0.95 – 1.0

0.11

   

 Systolic blood pressure (n = 34)

0.98

0.94 – 1.02

0.24

   

 Diastolic blood pressure (n = 34)

0.95

0.91 – 1.0

0.032

0.90

0.86 – 0.95

< 0.001

 B-type natriuretic peptide (n = 44)

1.00

1.0 – 1.0

0.85

   

 Troponin I (n = 42)

1.05

1.01 – 1.1

0.016

1.14

1.07 – 1.22

 < 0.001

 Creatine-kinase MB (n = 38)

1.01

1.0 – 1.02

0.084

   

 Hemoglobin (n = 46)

1.27

0.79 – 2.03

0.32

   

Post-mortem parameters

 Atherosclerosis (n = 47)

2.36

0.9 – 6.17

0.080

   

 Heart weight (n = 46)

1.00

1.0 – 1.01

0.037

   

 Left ventricle thickness (n = 47)

1.86

0.36 – 9.56

0.46

   

 Right ventricle thickness (n = 47)

9.34

2.07 – 42.24

0.004

18.95

3.64 – 98.75

< 0.001

 Septal wall thickness (n = 24)

4.26

0.39 – 46.82

0.24

   

 Left ventricle mass (n = 16)

1.01

1.01 – 1.02

0.021

   

 Zonal fibrosis (n = 34)

1.07

0.67 – 1.7

0.78

   

Myocardial morphology

 Interstitial fibrosis (n = 27)

0.05

0.0 – 161.34

0.47

   

 Cardiomyocyte nuclei number (n = 29)

0.99

0.95 – 1.03

0.53

   

 Cardiomyocyte minor axis length (n = 14)

0.69

0.44 – 1.08

0.10

   

 Nuclear atypia (n = 34)

1.76

0.76 – 4.08

0.19

   

 Lipofuscin deposition (n = 34)

1.12

0.4 – 3.15

0.83

   

 Myocyte apposition (n = 34)

0.62

0.12 – 3.3

0.58

   

Cancer therapy

 Chemotherapy (n = 42)

      

 Class 1

0.34

0.14 – 0.83

0.018

   

 Class 2

1.1

0.4 – 3.01

0.85

   

 Class 3

0.58

0.23 – 1.47

0.25

   

 Class 4

0.35

0.13 – 0.98

0.045

   

 Class 5

0.47

0.15 – 1.43

0.81

   

 Class 6

0.31

0.04 – 2.38

0.26

   

 Class 7

1.23

0.48 – 3.19

0.67

   

Radiotherapy (n = 52)

0.58

0.22 – 1.56

0.28

   

Cell biomarkers

 BCL1 (n = 4)

0.16

0.02 – 1.34

0.092

   

 CD3 (n = 29)

2.52

0.4 – 21.32

0.29

   

 CD5 (n = 8)

0.21

0.03 – 1.55

0.12

   

 CD10 (n = 6)

0.35

0.05 – 2.71

0.31

   

 CD21 (n = 2)

4.82

0.06 – 419.71

0.49

   

 CD23 (n = 7)

1.42

0.32 – 6.25

0.64

   

 CD30 (n = 6)

0.24

0.03 – 1.74

0.16

   

 C-MYC (n = 5)

0.27

0.06 – 1.23

0.091

   

 MUM1 (n = 7)

0.48

0.11 – 2.11

0.33

   

 Blast % (n = 17)

0.99

0.95 – 1.04

0.83

   

 Lysozyme (n = 12)

0.5

0.11 – 2.33

0.38

   

 MPO/MPX (n = 23)

0.43

0.06 – 3.31

0.42

   

 TdT (n = 12)

0.13

0.03 – 0.51

0.003

   

 PAX5 (n = 23)

0.34

0.12 – 0.96

0.043

   
  1. This analysis includes 52 patients with known causes of death, 21 of whom experienced cardiac death