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ȣ - 520152 244 |
Epicardial Fat Thickness Is Related with Cardiovascular Risk Factors in Patients with Acute Myocardial Infarction |
전남대학교병원 심장센터, 간호부, 전남대학교 심혈관계 특성화 사업단 |
임상춘, 정명호, 이지선, 김혜숙, 조숙희, 구현아, 심재연, 이숙자, 최영자, 윤현주, 윤남식, 김계훈, 홍영준, 박형욱, 김주한, 안영근, 조정관, 박종춘, 강정채, 박옥규 |
Background: The objective of the present study was to evaluate the relationship between echocardiographic epicardial fat and serologic parameters in patients with acute myocardial infarction (AMI).
Methods: A total of 513 consecutive patients (62.4±12 years, 361 males) with AMI were divided into two groups according to the of epicardial fat thickness; group I associated with higher thickness more than 3 mm (n= 213, 65.9 ± 11 years, 137males) vs. group II associated with lower thickness less than 3 mm (n=300, 59.9 ± 13 years, 224 males). Various clinical, laboratory, echocardiographic parameters and coronary angiographic findings were compared between two groups.
Results: Age and abdominal circumference was higher in group I than group II. The prevalence of diabetes, smoking and multi-vessel disease was more frequent in group I than group II. The levels of glucose and C-reactive peptide (hs-CRP) were significantly increased in group I than in group II (p<0.001). Left atrial contraction velocity, left ventricular filling pressure and wall motion score index was higher in group I than in group II (p<0.001). Acute in-hospital event rate and one-year major adverse cardiac event rate were no significant difference between two groups.
Conclusions: Epicardial fat is closely related with cardiovascular risk factors and associated with echocardiographic parameters, but is not affected short- and long-term clinical outcomes in patients with AMI.
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