The Different Effects of BMI and WC on Organ Damage in Patients from a Cardiac Rehabilitation Program after Acute Coronary Syndrome

Abstract

One of the purposes of cardiac rehabilitation (CR) after acute coronary syndrome (ACS) is to monitor and control weight of the patient. Our study is to compare the different obesity indexes, body mass index (BMI), and waist circumference (WC), through one well-designed CR program (CRP) with ACS in Guangzhou city of Guangdong Province, China, in order to identify different effects of BMI and WC on organ damage. In our work, sixty-one patients between October 2013 and January 2014 fulfilled our study. We collected the vital signs by medical records, the clinical variables of body-metabolic status by fasting blood test, and the organ damage variables by submaximal exercise treadmill test (ETT) and ultrasonic cardiogram (UCG) both on our inpatient and four-to-five weeks of outpatient part of CRP after ACS. We mainly used two-tailed Pearson's test and liner regression to evaluate the relationship of BMI/WC and organ damage. Our results confirmed that WC could be more accurate than BMI to evaluate the cardiac function through the changes of left ventricular structure on the CRP after ACS cases. It makes sense of early diagnosis, valid evaluation, and proper adjustment to ACS in CRP of the obesity individuals in the future.

Assess the Performance and Cost-Effectiveness of LACE and HOSPITAL Re-Admission Prediction Models as a Risk Management Tool for Home Care Patients: An Evaluation Study of a Medical Center Affiliated Home Care Unit in Taiwan

“…Our analytic framework, combining traditional measures, NRI, and a microsimulation model, would be particularly useful in implementing prediction models in clinical practice. For example, prediction model developed in a large research sites could be adopted and applied to other clinical settings by incorporating this framework [33,34].…”

Impact of Normal Weight Central Obesity on Clinical Outcomes in Male Patients With Premature Acute Coronary Syndrome

“…33 In addition, WC could be more precise than BMI to evaluate the cardiac function through the changes of left ventricular structure on the cardiac rehabilitation program after ACS cases. 34 Nevertheless, they only analyzed the obesity measurements of BMI and WC. Our findings therefore raise the possibility that patients with premature ACS who have normal BMI may be centrally obese, particularly based on the value of WHR.…”

Blood homocysteine levels could predict major adverse cardiac events in patients with acute coronary syndrome

“…[ 21 ] Other authors described 3-dimensional global longitudinal strain as an excellent predictor with the highest predictive value for future left ventricular remodeling after acute myocardial infarction, [ 22 ] and the waist circumference could be more accurate to assess the cardiac function through the changes of let ventricular structure on the cardiac rehabilitation program ater ACS patients. [ 23 ] Moreover, other authors considered that the combination of computer-tomography-based fractional flow reserve pullback curve and wall shear stress distributions can provide more accurate evaluation the clinical outcome of the patients suffer from coronary stenoses, [ 24 ] and the non-invasive fractional low reserve derived from coronary computed tomographic angiography may be an simplified method to assess the hemodynamic characteristics for coronary stenosis. [ 25 ] These reports demonstrate that many potential questions remain in relation to the selection of optimal prognostic predictive factors for ACS.…”