Effect of Waist Circumference on Mortality and Morbidity in Patients with Acute Coronary Syndrome with St-Segment Elevation
Aim: Obesity is a known risk factor for cardiovascular diseases. However, there are also studies showing that increased body mass index is unexpectedly protective in myocardial infarction. More studies are needed to elucidate this situation, known as the obesity paradox. This study was conducted to...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Rabia Yılmaz
2022-09-01
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| Series: | Journal of Contemporary Medicine |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/2295777 |
| _version_ | 1797860616354922496 |
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| author | Fatih Topal Adem Çakır Rezan Karaali Hüseyin Acar Pınar Yeşim Akyol |
| author_facet | Fatih Topal Adem Çakır Rezan Karaali Hüseyin Acar Pınar Yeşim Akyol |
| author_sort | Fatih Topal |
| collection | DOAJ |
| description | Aim: Obesity is a known risk factor for cardiovascular diseases. However, there are also studies showing that increased body mass index is unexpectedly protective in myocardial infarction. More studies are needed to elucidate this situation, known as the obesity paradox. This study was conducted to investigate the relationship between waist circumference and mortality and morbidity in acute ST elevated myocardial infarct (STEMI).
Material and Method: This is a prospective and observational study. Patients diagnosed with STEMI on electrocardiography (ECG) were included in the study. Immediately after the exhalation, waist circumference (WC) was measured on a horizontal plane at a point equidistant from the lowest floating rib and the upper border of the iliac crest. The role of waist circumference in the development of mortality and major cardiac events within 1 month was evaluated.
Results: A total of 106 patients admitted to the emergency department with STEMI were included in the study. While increased waist circumference was associated with mortality, it was insignificant in terms of major adverse cardiovascular event (MACE) development. Low BMI is significant in terms of decreased mortality and MACE.
Conclusions: The use of WC as an indicator of body fat ratio rather than weight in STEMI may be more valuable in the evaluation of mortality and MACE. |
| first_indexed | 2024-04-09T21:48:44Z |
| format | Article |
| id | doaj.art-611856f09322405aa79df91c52e35700 |
| institution | Directory Open Access Journal |
| issn | 2667-7180 |
| language | English |
| last_indexed | 2024-04-09T21:48:44Z |
| publishDate | 2022-09-01 |
| publisher | Rabia Yılmaz |
| record_format | Article |
| series | Journal of Contemporary Medicine |
| spelling | doaj.art-611856f09322405aa79df91c52e357002023-03-24T19:43:26ZengRabia YılmazJournal of Contemporary Medicine2667-71802022-09-0112567167710.16899/jcm.10842831809Effect of Waist Circumference on Mortality and Morbidity in Patients with Acute Coronary Syndrome with St-Segment ElevationFatih Topal0Adem Çakır1Rezan Karaali2Hüseyin Acar3Pınar Yeşim Akyol4İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİSAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL BAŞAKŞEHİR ÇAM VE SAKURA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, ACİL TIP ANABİLİM DALIİzmir Atatürk Eğitim ve Araştırma Hastanesiİzmir Atatürk Eğitim ve Araştırma Hastanesiİzmir Atatürk eğtim ve Araştırma HastanesiAim: Obesity is a known risk factor for cardiovascular diseases. However, there are also studies showing that increased body mass index is unexpectedly protective in myocardial infarction. More studies are needed to elucidate this situation, known as the obesity paradox. This study was conducted to investigate the relationship between waist circumference and mortality and morbidity in acute ST elevated myocardial infarct (STEMI). Material and Method: This is a prospective and observational study. Patients diagnosed with STEMI on electrocardiography (ECG) were included in the study. Immediately after the exhalation, waist circumference (WC) was measured on a horizontal plane at a point equidistant from the lowest floating rib and the upper border of the iliac crest. The role of waist circumference in the development of mortality and major cardiac events within 1 month was evaluated. Results: A total of 106 patients admitted to the emergency department with STEMI were included in the study. While increased waist circumference was associated with mortality, it was insignificant in terms of major adverse cardiovascular event (MACE) development. Low BMI is significant in terms of decreased mortality and MACE. Conclusions: The use of WC as an indicator of body fat ratio rather than weight in STEMI may be more valuable in the evaluation of mortality and MACE.https://dergipark.org.tr/tr/download/article-file/2295777waist circumferencemortalityacute coronary syndromeobesitybel çevresimortaliteakut koroner sendromobezite |
| spellingShingle | Fatih Topal Adem Çakır Rezan Karaali Hüseyin Acar Pınar Yeşim Akyol Effect of Waist Circumference on Mortality and Morbidity in Patients with Acute Coronary Syndrome with St-Segment Elevation Journal of Contemporary Medicine waist circumference mortality acute coronary syndrome obesity bel çevresi mortalite akut koroner sendrom obezite |
| title | Effect of Waist Circumference on Mortality and Morbidity in Patients with Acute Coronary Syndrome with St-Segment Elevation |
| title_full | Effect of Waist Circumference on Mortality and Morbidity in Patients with Acute Coronary Syndrome with St-Segment Elevation |
| title_fullStr | Effect of Waist Circumference on Mortality and Morbidity in Patients with Acute Coronary Syndrome with St-Segment Elevation |
| title_full_unstemmed | Effect of Waist Circumference on Mortality and Morbidity in Patients with Acute Coronary Syndrome with St-Segment Elevation |
| title_short | Effect of Waist Circumference on Mortality and Morbidity in Patients with Acute Coronary Syndrome with St-Segment Elevation |
| title_sort | effect of waist circumference on mortality and morbidity in patients with acute coronary syndrome with st segment elevation |
| topic | waist circumference mortality acute coronary syndrome obesity bel çevresi mortalite akut koroner sendrom obezite |
| url | https://dergipark.org.tr/tr/download/article-file/2295777 |
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