Izvorni znanstveni članak

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

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

Datum izdavanja:

1.6.2016.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.767 *