Body Mass Index Is Independently Associated with the Presence of Ischemia in Myocardial Perfusion Imaging
<i>Background and Objectives</i>: Obesity has been linked to various cardiovascular risk factors, increased incidence of coronary artery disease, and myocardial perfusion defects. The aim of this study was to investigate if body mass index (BMI) and waist circumference (WC) were associat...
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MDPI AG
2022-07-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/8/987 |
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| author | Chrissa Sioka Paraskevi Zotou Michail I. Papafaklis Aris Bechlioulis Konstantinos Sakellariou Aidonis Rammos Evangelia Gkika Lampros Lakkas Sotiria Alexiou Pavlos Kekiopoulos Katerina K. Naka Christos Katsouras |
| author_facet | Chrissa Sioka Paraskevi Zotou Michail I. Papafaklis Aris Bechlioulis Konstantinos Sakellariou Aidonis Rammos Evangelia Gkika Lampros Lakkas Sotiria Alexiou Pavlos Kekiopoulos Katerina K. Naka Christos Katsouras |
| author_sort | Chrissa Sioka |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Obesity has been linked to various cardiovascular risk factors, increased incidence of coronary artery disease, and myocardial perfusion defects. The aim of this study was to investigate if body mass index (BMI) and waist circumference (WC) were associated with myocardial perfusion defects. <i>Materials and Methods</i>: A total of 308 consecutive patients who had myocardial perfusion imaging (MPI) with single photon emission computed tomography (SPECT) and a complete medical record on file were studied retrospectively. <i>Results</i>: The median age was 69 (61–76) years, the BMI was 27.6 (24.4–30.7) kg/m<sup>2</sup>, and the WC was 110 (102–118) cm. Of the 308 patients, 239 patients (77.6%) had myocardial ischemia. A positive test for ischemia was more frequent in men compared to women (72 vs. 28%, <i>p</i> < 0.001). Within the male group, BMI and WC were not significantly different between the ischemia and non-ischemia groups. In contrast, within the female group, both BMI (30.2 vs. 27.1 kg/m<sup>2</sup>, <i>p</i> = 0.002) and WC (112 vs. 105.5 cm, <i>p</i> = 0.020) were significantly higher in the ischemia group. Multivariable logistic regression showed that male sex and BMI were the only two independent predictors of ischemia in our patient population. <i>Conclusions</i>: This study showed that BMI was an independent predictor of ischemia in our patient population. |
| first_indexed | 2024-03-09T04:07:39Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T04:07:39Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-534e03179f604547af460e9da87dd8052023-12-03T14:04:17ZengMDPI AGMedicina1010-660X1648-91442022-07-0158898710.3390/medicina58080987Body Mass Index Is Independently Associated with the Presence of Ischemia in Myocardial Perfusion ImagingChrissa Sioka0Paraskevi Zotou1Michail I. Papafaklis2Aris Bechlioulis3Konstantinos Sakellariou4Aidonis Rammos5Evangelia Gkika6Lampros Lakkas7Sotiria Alexiou8Pavlos Kekiopoulos9Katerina K. Naka10Christos Katsouras11Department of Nuclear Medicine, University Hospital of Ioannina, 45500 Ioannina, GreeceDepartment of Nuclear Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece2nd Department of Cardiology, University Hospital of Ioannina, 45500 Ioannina, Greece2nd Department of Cardiology, University Hospital of Ioannina, 45500 Ioannina, GreeceDepartment of Nuclear Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece2nd Department of Cardiology, University Hospital of Ioannina, 45500 Ioannina, GreeceDepartment of Nuclear Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece2nd Department of Cardiology, University Hospital of Ioannina, 45500 Ioannina, GreeceDepartment of Nuclear Medicine, University Hospital of Ioannina, 45500 Ioannina, GreeceDepartment of Nuclear Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece2nd Department of Cardiology, University Hospital of Ioannina, 45500 Ioannina, Greece2nd Department of Cardiology, University Hospital of Ioannina, 45500 Ioannina, Greece<i>Background and Objectives</i>: Obesity has been linked to various cardiovascular risk factors, increased incidence of coronary artery disease, and myocardial perfusion defects. The aim of this study was to investigate if body mass index (BMI) and waist circumference (WC) were associated with myocardial perfusion defects. <i>Materials and Methods</i>: A total of 308 consecutive patients who had myocardial perfusion imaging (MPI) with single photon emission computed tomography (SPECT) and a complete medical record on file were studied retrospectively. <i>Results</i>: The median age was 69 (61–76) years, the BMI was 27.6 (24.4–30.7) kg/m<sup>2</sup>, and the WC was 110 (102–118) cm. Of the 308 patients, 239 patients (77.6%) had myocardial ischemia. A positive test for ischemia was more frequent in men compared to women (72 vs. 28%, <i>p</i> < 0.001). Within the male group, BMI and WC were not significantly different between the ischemia and non-ischemia groups. In contrast, within the female group, both BMI (30.2 vs. 27.1 kg/m<sup>2</sup>, <i>p</i> = 0.002) and WC (112 vs. 105.5 cm, <i>p</i> = 0.020) were significantly higher in the ischemia group. Multivariable logistic regression showed that male sex and BMI were the only two independent predictors of ischemia in our patient population. <i>Conclusions</i>: This study showed that BMI was an independent predictor of ischemia in our patient population.https://www.mdpi.com/1648-9144/58/8/987myocardial perfusion imagingmyocardial ischemiabody mass indexwaist circumferenceobesity |
| spellingShingle | Chrissa Sioka Paraskevi Zotou Michail I. Papafaklis Aris Bechlioulis Konstantinos Sakellariou Aidonis Rammos Evangelia Gkika Lampros Lakkas Sotiria Alexiou Pavlos Kekiopoulos Katerina K. Naka Christos Katsouras Body Mass Index Is Independently Associated with the Presence of Ischemia in Myocardial Perfusion Imaging Medicina myocardial perfusion imaging myocardial ischemia body mass index waist circumference obesity |
| title | Body Mass Index Is Independently Associated with the Presence of Ischemia in Myocardial Perfusion Imaging |
| title_full | Body Mass Index Is Independently Associated with the Presence of Ischemia in Myocardial Perfusion Imaging |
| title_fullStr | Body Mass Index Is Independently Associated with the Presence of Ischemia in Myocardial Perfusion Imaging |
| title_full_unstemmed | Body Mass Index Is Independently Associated with the Presence of Ischemia in Myocardial Perfusion Imaging |
| title_short | Body Mass Index Is Independently Associated with the Presence of Ischemia in Myocardial Perfusion Imaging |
| title_sort | body mass index is independently associated with the presence of ischemia in myocardial perfusion imaging |
| topic | myocardial perfusion imaging myocardial ischemia body mass index waist circumference obesity |
| url | https://www.mdpi.com/1648-9144/58/8/987 |
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