Abdominal Circumference as a Predictor of 30-day Outcome in Acute Coronary Syndrome

作者：Lopes de Souza Priscilla Azambuja; Trussardi Fayh Ana Paula; Portal Vera Lucia^*

来源：Arquivos Brasileiros de Cardiologia, 2011, 96(5): 399-404.

• Acute coronary syndrome
• abdominal circumference
• obesity, risk factors

Background: Abdominal circumference (AC) is the measure that correlates most closely with the risk factors and death from cardiovascular disease. However, the impact of obesity on the prognosis of patients with cardiovascular disease remains controversial and requires further clarification.
Objective: To evaluate AC as a predictor of 30-day outcome in patients who were hospitalized with acute coronary syndrome (ACS), in a referral hospital for the treatment of cardiovascular diseases.
Methods: Contemporary cohort 267 patients who were hospitalized for ACS and who were followed for 30 days after discharge, taking into account the major cardiovascular events - MACE - (death, reinfarction, rehospitalization for coronary artery bypass grafting procedures). In the first 24 hours of admission, patients answered a questionnaire and were subsequently measured for AC. The statistical analysis was performed with SPSS 17.0, using the chi-square test for categorical variables and Student t test for numerical variables, with significance level of p <= 0.05. The variables that had p < 0.10 in the bivariate analysis were included in a logistic regression model to evaluate the AC role as an independent predictor of MACE.
Results: After multivariate analysis, only the female gender (OR = 8.86; 95% CI: 4.55-17. 10, p < 0.00), hypertension (OR = 2.06; 95% CI: 1.10-3.87; p = 0.02) and family history of ischemic heart disease (OR = 2.10; 95% CI: 1.17-3.74; p = 0.01) remained associated with the MACE.
Conclusion: In our study, the modified AC was not associated with increased incidence of MACE over the 30 days of follow-up. (Arq Bras Cardiol 2011;96(5):399-404)

• 出版日期2011-5