The role of anthropometry in acute ST-elevation myocardial infarction treated with primary percutaneous coronary intervention (CROSBI ID 237924)
Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija
Podaci o odgovornosti
Mornar Jelavić, Marko ; Babić, Zdravko ; Pintarić, Hrvoje ; Mišigoj Duraković, Marjeta
engleski
The role of anthropometry in acute ST-elevation myocardial infarction treated with primary percutaneous coronary intervention
The aim of this study was to investigate the controversial infl uence of anthropometry on clinical severity and prognosis of acute ST- elevation myocardial infarction (STEMI). We prospectively analyzed 250 patients with acute STEMI treated with primary percutaneous coronary intervention (September 2011 – September 2012). They were grouped according to the following anthropometric parameters: body mass index (BMI) (<25.0, 25.0-29.9, ≥30.0 kg/m²), waist circumference (WC) (<102/88, ≥102/88 cm), waist-to-hip ratio (WHR) (<0.90/0.85, ≥0.90/0.85) and waistto- height ratio (WHtR) (<53/49, 53/49-62/57, ≥63/58). The groups were analyzed by baseline, as well as severity (clinical, laboratory, echocardiography, coronary angiography, in- hospital complications) and prognostic parameters (major adverse cardiovascular events and sick leave duration during 12-month follow up). Patients with BMI <25.0 kg/m2 had the highest rates of dyspnea and those with BMI ≥30.0 kg/m² had the longest hospitalization and widest stents ; patients with WHR ≥0.90/0.85 had higher rates of signifi cantly stenosed proximal/middle coronary segments, while those with WHtR ≥63/58 had the highest rates of heart failure and total in-hospital complications (p<0.05). BMI <25.0 kg/m2 increased (odds ratio (OR) 2.00, confidence interval (CI) [1.09- 3.68], p=0.026) and BMI 25.0-29.9 kg/m2 reduced (OR 0.52, CI [0.30-0.91], p=0.022) the risk of dyspnea ; WHR ≥0.90/0.85 increased the risk of significant proximal/middle coronary segment stenosis (OR 3.34, CI [1.13-9.86], p=0.029) and WHtR ≥63/58 the risk of heart failure (OR 2.05, CI [1.13-3.71], p=0.017) and total in-hospital complications (OR 1.94, CI [1.13-3.33], p=0.017) (p<0.05). In conclusion, WHR and WHtR are better anthropometric parameters than BMI in predicting acute STEMI severity, while WC has no influence on it. Anthropometry has no influence on prognosis.
Anthropometry ; Obesity ; Myocardial infarction ; Percutaneous coronary intervention ; Sick leave
Sažetak dostupan i na hrvatskom jeziku.
nije evidentirano
nije evidentirano
nije evidentirano
nije evidentirano
nije evidentirano
Podaci o izdanju
55 (2)
2016.
224-232
objavljeno
0353-9466
1333-9451
10.20471/acc.2016.55.02.07
Povezanost rada
Javno zdravstvo i zdravstvena zaštita, Kineziologija, Kliničke medicinske znanosti, Temeljne medicinske znanosti