Naslov
The controversial role of various obesity indices in acute myocardial infarction

Autori
Mornar Jelavić, M. ; Babić Z. ; Pintarić H. ; Mišigoj- Duraković, Marjeta

Izvornik
Diabetologia Croatica (0351-0042) 43 (2014), 2; 47-56

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
obesity, myocardial infarction, percutaneous coronary intervention, sick leave

Sažetak
This prospective study (September 2011- September 2012) including 250 patients investigated the controversial role of obesity indices in clinical severity and prognosis of acute ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention. Study patients were grouped according to obesity indices: body mass index (BMI) (<25.0, 25.0-29.9 and ≥30.0 kg/m²), waist circumference (WC) (<102/88 and ≥102/88 cm), waist-to-hip ratio (WHR) (<0.90/0.85 and ≥0.90/0.85) and waist-to-height ratio (WHtR) (<53/49, 53/49- 62/57 and ≥63/58). The groups were analyzed by the baseline, severity (clinical, laboratory, echo - cardiography, coronary angiography, and in- hospital complications) and prognostic parameters (major adverse cardiovascular events, and sick leave during 12-month follow up). While BMI <25.0 kg/m2 increased and BMI 25.0-29.9 kg/m2 reduced the risk of dyspnea, WHR ≥0.90/0.85 increased the risk of significant proximal/middle coronary segment stenosis and WHtR ≥63/58 increased the risk of heart failure and total in-hospital complications (p<0.05). In conclusion, WHR and for the first time used WHtR are superior to BMI in predicting acute STEMI severity, while WC has no influence on it. Obesity have no impact on prognosis.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti

POVEZANOST RADA