Waist circumference, but not body mass index, is a predictor of ventricular remodeling after anterior myocardial infarction

Página do item simplificado
dc.contributor.authorCogni, Ana Lucia [UNESP]
dc.contributor.authorFarah, Elaine [UNESP]
dc.contributor.authorMinicucci, Marcos Ferreira [UNESP]
dc.contributor.authorGaiolla, Paula Schmidt Azevedo [UNESP]
dc.contributor.authorOkoshi, Katashi [UNESP]
dc.contributor.authorMatsubara, Beatriz Bojikian [UNESP]
dc.contributor.authorZanati, Silméia G. [UNESP]
dc.contributor.authorPaiva, Sergio A.R. [UNESP]
dc.contributor.authorZornoff, Leonardo Antonio Mamede [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:27:29Z
dc.date.available2014-05-27T11:27:29Z
dc.date.issued2013-01-01
dc.description.abstractObjective: The impact of obesity on ventricular remodeling after myocardial infarction (MI) is still poorly understood. Therefore, the aim of this study was to evaluate the role of waist circumference (WC) and body mass index as predictors of cardiac remodeling in patients after an anterior MI. Methods: Eighty-three consecutive patients with anterior MI were prospectively evaluated. Clinical characteristics and echocardiographic data were analyzed at admission and at a 6-mo follow-up. Ventricular remodeling was defined as a 10% increase in left ventricular end-systolic or end-diastolic diameter at the 6-mo follow-up. Results: In our study, 83 consecutive patients were evaluated (72% men). Ventricular remodeling was present in 31% of the patients (77% men). Patients with remodeling had higher creatine phosphokinase and creatine phosphokinase-MB peak values, a higher resting heart rate, a larger left atrial diameter, and a larger interventricular septum diastolic thickness. In addition, patients with remodeling had lower peak velocity of early ventricular filling deceleration time and ejection fraction. Patients with remodeling presented higher WC values (with remodeling, 99.2 ± 10.4 cm; without remodeling, 93.9 ± 10.8 cm, P = 0.04), but there were no differences in the body mass index values. In the logistic regression analysis, WC, adjusted by age, gender, ejection fraction, and creatine phosphokinase levels, was an independent predictor of left ventricular remodeling (odds ratio 1.067, 95% confidence interval 1.001-1.129, P = 0.02). Conclusion: Waist circumference, but not body mass index, is a predictor of ventricular remodeling after an anterior MI. Therefore, the WC of these patients should be measured in clinical practice. © 2013 Elsevier Inc.en
dc.description.affiliationInternal Medicine Department Botucatu Medical School São Paulo State University, Botucatu, São Paulo
dc.description.affiliationUnespInternal Medicine Department Botucatu Medical School São Paulo State University, Botucatu, São Paulo
dc.format.extent122-126
dc.identifierhttp://dx.doi.org/10.1016/j.nut.2012.04.020
dc.identifier.citationNutrition, v. 29, n. 1, p. 122-126, 2013.
dc.identifier.doi10.1016/j.nut.2012.04.020
dc.identifier.file2-s2.0-84870833953.pdf
dc.identifier.issn0899-9007
dc.identifier.issn1873-1244
dc.identifier.lattes1590971576309420
dc.identifier.lattes6990977122340795
dc.identifier.lattes5016839015394547
dc.identifier.lattes1213140801402647
dc.identifier.lattes7438704034471673
dc.identifier.orcid0000-0002-5843-6232
dc.identifier.scopus2-s2.0-84870833953
dc.identifier.urihttp://hdl.handle.net/11449/74188
dc.identifier.wosWOS:000313138200020
dc.language.isoeng
dc.relation.ispartofNutrition
dc.relation.ispartofjcr3.734
dc.relation.ispartofsjr1,300
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectCoronary occlusion
dc.subjectIschemia
dc.subjectObesity
dc.subjectPrognosis
dc.subjectVentricular dilatation
dc.subjectcreatine kinase
dc.subjectcreatine kinase MB
dc.subjectadult
dc.subjectanterior myocardial infarction
dc.subjectbody mass
dc.subjectclinical evaluation
dc.subjectcontrolled study
dc.subjectdeceleration
dc.subjectechocardiography
dc.subjectfemale
dc.subjectfollow up
dc.subjectheart infarction size
dc.subjectheart left ventricle ejection fraction
dc.subjectheart left ventricle enddiastolic volume
dc.subjectheart left ventricle endsystolic volume
dc.subjectheart left ventricle filling
dc.subjectheart ventricle remodeling
dc.subjectheart ventricle septum
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectpriority journal
dc.subjectprospective study
dc.subjectwaist circumference
dc.subjectAged
dc.subjectBody Mass Index
dc.subjectEchocardiography, Doppler, Color
dc.subjectEchocardiography, Doppler, Pulsed
dc.subjectFemale
dc.subjectHeart Ventricles
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMyocardial Infarction
dc.subjectPredictive Value of Tests
dc.subjectProspective Studies
dc.subjectVentricular Remodeling
dc.subjectWaist Circumference
dc.titleWaist circumference, but not body mass index, is a predictor of ventricular remodeling after anterior myocardial infarctionen
dc.typeArtigo
dcterms.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
unesp.author.lattes1590971576309420
unesp.author.lattes6990977122340795
unesp.author.lattes1213140801402647[4]
unesp.author.lattes7438704034471673
unesp.author.orcid0000-0001-8980-8839[5]
unesp.author.orcid0000-0003-4412-1990[8]
unesp.author.orcid0000-0002-5980-4367[3]
unesp.author.orcid0000-0002-0607-8189[7]
unesp.author.orcid0000-0002-5843-6232[4]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

Arquivos

Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
2-s2.0-84870833953.pdf
Tamanho:
165.04 KB
Formato:
Adobe Portable Document Format
Descrição:
Baixar

Coleções

Artigos - Clínica Médica - FMB