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https://doi.org/10.20471/acc.2016.55.02.07

The role of anthropometry in acute st-elevation myocardial infarction treated with primary percutaneous coronary intervention

Marko Mornar Jelavić ; Department of Internal Medicine and Dialysis, Zagreb-East Health Center, Zagreb, Croatia
Zdravko Babić ; Coronary Care Unit, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Hrvoje Pintarić ; Cardiac Catheterization Laboratory, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Marjeta Mišigoj-Duraković ; Department of Kinesiologic Anthropology, Faculty of Kinesiology, Zagreb, Croatia

Puni tekst: engleski, pdf (95 KB) str. 224-232 preuzimanja: 498* citiraj
APA 6th Edition
Mornar Jelavić, M., Babić, Z., Pintarić, H. i Mišigoj-Duraković, M. (2016). The role of anthropometry in acute st-elevation myocardial infarction treated with primary percutaneous coronary intervention. Acta clinica Croatica, 55. (2.), 224-232. https://doi.org/10.20471/acc.2016.55.02.07
MLA 8th Edition
Mornar Jelavić, Marko, et al. "The role of anthropometry in acute st-elevation myocardial infarction treated with primary percutaneous coronary intervention." Acta clinica Croatica, vol. 55., br. 2., 2016, str. 224-232. https://doi.org/10.20471/acc.2016.55.02.07. Citirano 04.08.2021.
Chicago 17th Edition
Mornar Jelavić, Marko, Zdravko Babić, Hrvoje Pintarić i Marjeta Mišigoj-Duraković. "The role of anthropometry in acute st-elevation myocardial infarction treated with primary percutaneous coronary intervention." Acta clinica Croatica 55., br. 2. (2016): 224-232. https://doi.org/10.20471/acc.2016.55.02.07
Harvard
Mornar Jelavić, M., et al. (2016). 'The role of anthropometry in acute st-elevation myocardial infarction treated with primary percutaneous coronary intervention', Acta clinica Croatica, 55.(2.), str. 224-232. https://doi.org/10.20471/acc.2016.55.02.07
Vancouver
Mornar Jelavić M, Babić Z, Pintarić H, Mišigoj-Duraković M. The role of anthropometry in acute st-elevation myocardial infarction treated with primary percutaneous coronary intervention. Acta clinica Croatica [Internet]. 2016 [pristupljeno 04.08.2021.];55.(2.):224-232. https://doi.org/10.20471/acc.2016.55.02.07
IEEE
M. Mornar Jelavić, Z. Babić, H. Pintarić i M. Mišigoj-Duraković, "The role of anthropometry in acute st-elevation myocardial infarction treated with primary percutaneous coronary intervention", Acta clinica Croatica, vol.55., br. 2., str. 224-232, 2016. [Online]. https://doi.org/10.20471/acc.2016.55.02.07

Sažetak
The aim of this study was to investigate the controversial influence 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 waist-to-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 significantly 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.

Ključne riječi
Anthropometry; Obesity; Myocardial infarction; Percutaneous coronary intervention; Sick leave

Hrčak ID: 164785

URI
https://hrcak.srce.hr/164785

[hrvatski]

Posjeta: 958 *