Nonalcoholic fatty liver disease and outcomes in patients with acute coronary syndrome
Background According to the results of longitudinal cohort study, patients with nonalcoholic fatty liver disease (NAFLD) were found to have a higher mortality owing to coronary heart disease than the liver cirrhosis. Patients with NAFLD may also have a higher prevalence of subclinical atherosclerosi...
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| Format: | Article |
| Language: | English |
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General Organization of Teaching Hospitals and Institutes
2018-01-01
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| Series: | Journal of Medicine in Scientific Research |
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| Online Access: | http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2018;volume=1;issue=4;spage=231;epage=233;aulast=Shaheen |
| _version_ | 1797230277720801280 |
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| author | El-Saied Shaheen |
| author_facet | El-Saied Shaheen |
| author_sort | El-Saied Shaheen |
| collection | DOAJ |
| description | Background
According to the results of longitudinal cohort study, patients with nonalcoholic fatty liver disease (NAFLD) were found to have a higher mortality owing to coronary heart disease than the liver cirrhosis. Patients with NAFLD may also have a higher prevalence of subclinical atherosclerosis independent of established cardiovascular risk factor.
Patients and methods
This study was performed at Shebin El-Kom Teaching Hospital from January 2018 to March 2018. All consecutive patients with nonfatal acute coronary syndrome (ACS) admitted were included in this study. Patients with excessive alcohol consumption, patients with established cirrhosis, and patients with identified risk factors for liver disease were excluded from study. All patients underwent ultrasound scan of liver.
Results
There were 118 participants with ACS. The number of patients with NAFLD was 55 (46.6%) and patients without NAFLD was 63 (53.4%). The number of male patients with NAFLD was 31 (56.4%) versus 40 (63.5%) in patients without NAFLD. There was a significant increase in total Global Registry of Acute Coronary Events score in patients with NAFLD versus patients without NAFLD and also patients with NAFLD showed significant increased high and intermediate risk of death during the hospital stay versus patients without NAFLD.
Conclusion
Patients with NAFLD and ACS require aggressive treatment of CAD and higher predicted mortality. |
| first_indexed | 2024-04-24T15:25:56Z |
| format | Article |
| id | doaj.art-c0d09c9df81e47898a200d69f79050ab |
| institution | Directory Open Access Journal |
| issn | 2537-091X 2537-0928 |
| language | English |
| last_indexed | 2024-04-24T15:25:56Z |
| publishDate | 2018-01-01 |
| publisher | General Organization of Teaching Hospitals and Institutes |
| record_format | Article |
| series | Journal of Medicine in Scientific Research |
| spelling | doaj.art-c0d09c9df81e47898a200d69f79050ab2024-04-02T06:35:30ZengGeneral Organization of Teaching Hospitals and InstitutesJournal of Medicine in Scientific Research2537-091X2537-09282018-01-011423123310.4103/JMISR.JMISR_60_18Nonalcoholic fatty liver disease and outcomes in patients with acute coronary syndromeEl-Saied ShaheenBackground According to the results of longitudinal cohort study, patients with nonalcoholic fatty liver disease (NAFLD) were found to have a higher mortality owing to coronary heart disease than the liver cirrhosis. Patients with NAFLD may also have a higher prevalence of subclinical atherosclerosis independent of established cardiovascular risk factor. Patients and methods This study was performed at Shebin El-Kom Teaching Hospital from January 2018 to March 2018. All consecutive patients with nonfatal acute coronary syndrome (ACS) admitted were included in this study. Patients with excessive alcohol consumption, patients with established cirrhosis, and patients with identified risk factors for liver disease were excluded from study. All patients underwent ultrasound scan of liver. Results There were 118 participants with ACS. The number of patients with NAFLD was 55 (46.6%) and patients without NAFLD was 63 (53.4%). The number of male patients with NAFLD was 31 (56.4%) versus 40 (63.5%) in patients without NAFLD. There was a significant increase in total Global Registry of Acute Coronary Events score in patients with NAFLD versus patients without NAFLD and also patients with NAFLD showed significant increased high and intermediate risk of death during the hospital stay versus patients without NAFLD. Conclusion Patients with NAFLD and ACS require aggressive treatment of CAD and higher predicted mortality.http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2018;volume=1;issue=4;spage=231;epage=233;aulast=Shaheenacute coronaryfatty livernonalcoholic |
| spellingShingle | El-Saied Shaheen Nonalcoholic fatty liver disease and outcomes in patients with acute coronary syndrome Journal of Medicine in Scientific Research acute coronary fatty liver nonalcoholic |
| title | Nonalcoholic fatty liver disease and outcomes in patients with acute coronary syndrome |
| title_full | Nonalcoholic fatty liver disease and outcomes in patients with acute coronary syndrome |
| title_fullStr | Nonalcoholic fatty liver disease and outcomes in patients with acute coronary syndrome |
| title_full_unstemmed | Nonalcoholic fatty liver disease and outcomes in patients with acute coronary syndrome |
| title_short | Nonalcoholic fatty liver disease and outcomes in patients with acute coronary syndrome |
| title_sort | nonalcoholic fatty liver disease and outcomes in patients with acute coronary syndrome |
| topic | acute coronary fatty liver nonalcoholic |
| url | http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2018;volume=1;issue=4;spage=231;epage=233;aulast=Shaheen |
| work_keys_str_mv | AT elsaiedshaheen nonalcoholicfattyliverdiseaseandoutcomesinpatientswithacutecoronarysyndrome |