Assessment of the Correlation between Severity of Coronary Artery Disease and Waist–Hip Ratio
DOI:
https://doi.org/10.3889/oamjms.2017.211Keywords:
waist/hip ratio, coronary artery disease, GensiniAbstract
AIM: To study the correlation between waist/hip ratio as measure of obesity and severity of coronary artery disease (CAD) assessed by coronary angiography in Kosovo.
METHODS: The study includes 82 patients with suspected or known CAD referred for coronary angiography. All patients were subjected to full history taking, clinical examination including measurement of arterial blood pressure, body weight, height, BMI, waist circumference, hip circumferences, waist/hip ratio and waist/height ratio. Coronary angiography was performed by standard techniques to determine the presence and severity of coronary artery lesion by Gensini score.
RESULTS: Among the 82 patients included in the study, in CAD – group (mean age was 66.76 ± 9.12 years) and non-CAD group (mean age was 64.80 ± 8.30 years), patients in CAD group had BMI (mean 28.17 ± 3.32 kg/m2) and in non-CAD group had BMI (mean 28.76 ± 4.68 kg/m2 ). Patients in CAD group had waist/height ratio (mean 1.76 ± 7.56) and in non-CAD group had waist/height ratio (mean 0.57 ± 0.08). Patient in CAD group had waist/hip ratio (mean 0.93 ± 0.06) and in non-CAD group (mean 0.88 ± 0.07). Thirty seven patients (45.1%) had no coronary artery disease (Gensini score = 0), 15 patients (18.3%) had mild disease (Gensini score = 1-32), 14 patients (17.1%) had moderate disease (Gensini score = 32-58), 16 patients (19.5%) had severe disease (Gensini score ≥ 58).
CONCLUSION: There is a significant positive correlation between waist/hip ratio and presence and severity of coronary artery disease among Kosovar patients.Downloads
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