Impact of waist circumference on hospital outcome and coronary angiographic findings of patients with acute ST-segment elevation myocardial infarction

Bakhoum, Sameh; Sorour, Samir M.; Elramly, Mohamed; Raslan, Hala M.; Salama, Iman I.

doi:10.1016/j.ehj.2014.02.002

Cited by 7 publications

(7 citation statements)

References 32 publications

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“…It was observed that the Pearson's correlation was statistically significant (p=0.001). It was supported by the study of Ahmadet al, and Parsaet al 24,25 .…”

Section: Table VIII Shows Coronary Artery Disease (Cad) Severity Of T...mentioning

confidence: 81%

“…The difference of mean Gensini Score between the group I and group II was statistically significant (p<0.001). Bakhoum, et al found that the mean Genseni's score was 85.1±38.5 vs 60.4 ± 43.6 in patints with or without abdominal obesity in terms of WC respectively that indicated that Genseni's score was higher in abdominal obese than normal population 24 .…”

Section: Table VIII Shows Coronary Artery Disease (Cad) Severity Of T...mentioning

confidence: 98%

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Association of Waist and Hip Ratio with the Angiographic Severity of Coronary Artery Disease in Patients with Non ST Segment Elevation Myocardial Infarction

et al. 2022

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Background: Obesity is a proven independent risk factor for coronary artery disease. There are different Methods for evaluation of obesity. The aim of this study is to evaluate the association between waist hip ratio and the severity of CAD in non-ST-segment elevation myocardial infarction patients. Methods: This cross-sectional observational study was done at the National Institute of Cardiovascular Diseases (NICVD), Dhaka. A total of 100 patients with NSTEMI who underwent coronary angiogram during the indexed hospitalization period were included in this study. On the basis of WHR, study patients were divided into two groups 50 patients of NSTEMI with normal WHR (Male <0.90, Female <0.80) were assigned as group I and 50 patients of NSTEMI with increased WHR (Male ³0.90, Female ³0.80) were assigned as group II. Results: The mean age of patients was 49.6±7.9 years and 52.3±8.7 years in Group I and Group II respectively with a male predominance in both the groups. No significant difference was found in between two groups in terms of demographic characteristics and traditional risk factors for CAD. Different parameters of angiographic severity of CAD were significantly higher in patients with increased WHR. Patients with non critical CAD (14% vs 0%, P = 0.02) and single vessel disease (58% vs 24%, P = 0.005) were more frequent in Group I, on the contrary double vessel disease (24% vs. 56%, P = 0.001) and triple vessel disease (4% vs. 20%, P = 0.03) were significantly more frequent in patients of Group II. Patients with moderate to severe CAD (Gensini score ³36) were found more in Group II than that of in Group I (24% vs. 76%, P <0.001) and there was statistically significant higher Gensini score was found in Group II (21.96±19.72 vs. 44.18±28.91, P <0.001). Significant positive correlation was found in between WHR and coronary artery disease severity measured by vessel score (r = 0.41, P < 0.001) and Gensini score (r = 0.31, P< 0.001). Multivariate regression analysis yielded that the risk of having significant CAD are 3.45 times more in patients with increased WHR than those of normal WHR (95% CI: 1.229-12.979, P = 0.01). Conclusion: Abdominal obesity, as evidenced by increased WHR, may be considered as a predictor of the severity of CAD in patients with acute NSTEMI. Bangladesh Heart Journal 2022; 37(2): 122-129

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“…It was observed that the Pearson's correlation was statistically significant (p=0.001). It was supported by the study of Ahmadet al, and Parsaet al 24,25 .…”

Section: Table VIII Shows Coronary Artery Disease (Cad) Severity Of T...mentioning

confidence: 81%

Section: Table VIII Shows Coronary Artery Disease (Cad) Severity Of T...mentioning

confidence: 98%

Association of Waist and Hip Ratio with the Angiographic Severity of Coronary Artery Disease in Patients with Non ST Segment Elevation Myocardial Infarction

et al. 2022

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“…The difference of mean Genseni's score between two groups was statistically significant (p=<0.001). Bakhoum, et al 29 found that the mean Genseni's score was 85.1±38.5 vs. 60.4 ± 43.6 in patients with or without abdominal obesity in terms of WC respectively that indicated that Genseni's score was higher in abdominal obese than normal population.…”

Section: Discussionmentioning

confidence: 98%

Association of Waist-Hip Ratio with Angiographic Severity of Coronary Artery Disease in Patients with Acute ST- Segment Elevation Myocardial Infarction

Akanda

Ullah²,

Barai

et al. 2018

Bangladesh Heart J

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Objective: Coronary artery disease (CAD) is rising in South Asia and is taking a more malignant proportion in South Asians than in Caucasians. Having a similar socioeconomic and cultural background, the scenario is same in Bangladesh. Obesity, especially abdominal is concerned as an important and modifiable risk factor for CAD which is now also raising both in developed and under developed countries. Waist-Hip ratio (WHR) is considered as an important tool for assessing abdominal obesity. The aim of this study is to evaluate the association between WHR and the severity of CAD of acute ST-segment elevation myocardial infarction (STEMI) patients so that primary prevention, early detection and proper management strategy can be taken to reduce the disease burden, morbidity and mortality.Methods: This cross sectional observational study was carried out among 105 patients with acute STEMI who received thrombolytic and underwent coronary angiography (CAG) at National Institute of Cardiovascular Diseases (NICVD), Dhaka from May, 2016 to November, 2016. They were divided into two groups, Group I (normal WHR) = 51 and group II (increased WHR) = 54, according to WHR level. Angiographic severity of coronary artery disease was assessed by vessel score and Genseni’s score.Results: Significant positive correlation was found between WHR and vessel score (r= 0.62, p=0.003). Moderate to severe CAD patients were significantly higher in increased WHR group than in normal WHR group (77.8% vs. 29.4%, p=<0.001). Significant positive correlation was also found between WHR and Genseni’s score (r= 0.71, p=0.001). Logistic regression analysis showed that a patient with increased WHR had 2.75 times higher risk of having significant CAD compared with those with the normal WHR.Conclusions: Increased WHR group had more significant coronary artery disease in terms of vessel score and Genseni’s score and can be considered as a predictor of the severity of the CAD disease in acute STEMI patients.Bangladesh Heart Journal 2017; 32(2) : 70-76

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“…Logistic multivariate analysis found that both N‐NSTEMI and STEMI are independent risk factors for MACE, this reflects N‐NSTEMI has a risk equivalent to acute STEMI. Some studies also suggested that the “N” wave resulted from a greater dispersion degree of transmural repolarization, in which the electrocardiographic activity was unstable to induce malignant ventricular arrhythmia and thus increased the risk for ventricular tachycardia, ventricular fibrillation, or sudden death . In a recent meta‐analysis, the NSTEMI patients with complete occlusion of culprit vessel detected by CAG were at a higher risk of all‐cause death and MACEs, which was similar whit STEMI .…”

Section: Discussionmentioning

confidence: 98%

Non‐ST‐elevated myocardial infarction with “N” wave on electrocardiogram and culprit vessel in left circumflex has a risk equivalent to ST‐elevated myocardial infarction

Yang

Chen

Liu

et al. 2020

Clinical Cardiology

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Background: It was found that delayed activation wave often appeared in terminal QRS wave in non-ST-elevated myocardial infarction (NSTEMI) with culprit vessel in left circumflex artery (LCX), yet little is known about the similarities among non-"N"-wave non-STelevated myocardial infarction (N-NSTEMI) and ST-elevated myocardial infarction (STEMI). Hypothesis:In AMI patients with the culprit vessel in LCX, "N" wave NSTEMI has a risk equivalent to STEMI.Methods: All 874 patients admitted to were included and whose coronary angiography (CAG) indicated the culprit vessel in LCX. Patients were divided into three groups: ST-elevated myocardial infarction group (STEMI group, n = 322), "N" wave non-ST-elevated myocardial infarction group (N-NSTEMI group, n = 232) and non-"N"-wave NSTEMI group (non N-NSTEMI group, n = 320). The basic data and the incidence of MACE during hospitalization and 12 months were analyzed.Results: In STEMI and N-NSTEMI groups, AST, CK, CK-MB, TnI, and stenosis severity were significantly higher than non N-NSTEMI (P < .05). The lesions in the N-NSTEMI and STEMI groups were more often located proximal LCX before giving rise to OM1 of LCX (P < .05), however, the non N-NSTEMI group was often located distal LCX after giving rise to OM1 and the OM1 (P < .05). The incidence rates of all MACEs, allcause death, ST, TVR, and rUAP were similar in N-NSTEMI and STEMI groups, which were greater than non N-NSTEMI (P < .05). Both N-NSTEMI and STEMI are independent risk factors for MACE (P < .05). Conclusion:The basic data and the incidence of major adverse cardiac event were similar in N-NSTEMI and STEMI patients, N-NSTEMI has a risk equivalent to acute STEMI. K E Y W O R D S acute non-ST-elevated myocardial infarction, acute ST-elevated myocardial infarction, delayed activation wave, left circumflex

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Impact of waist circumference on hospital outcome and coronary angiographic findings of patients with acute ST-segment elevation myocardial infarction

Cited by 7 publications

References 32 publications

Association of Waist and Hip Ratio with the Angiographic Severity of Coronary Artery Disease in Patients with Non ST Segment Elevation Myocardial Infarction

Association of Waist and Hip Ratio with the Angiographic Severity of Coronary Artery Disease in Patients with Non ST Segment Elevation Myocardial Infarction

Association of Waist-Hip Ratio with Angiographic Severity of Coronary Artery Disease in Patients with Acute ST- Segment Elevation Myocardial Infarction

Non‐ST‐elevated myocardial infarction with “N” wave on electrocardiogram and culprit vessel in left circumflex has a risk equivalent to ST‐elevated myocardial infarction

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