Source:http://linkedlifedata.com/resource/pubmed/id/18929693
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
8
|
| pubmed:dateCreated |
2008-10-20
|
| pubmed:abstractText |
The relation between body mass index (BMI) and waist-to-hip ratio (WHR) to clinical outcomes in patients with ST-segment elevation acute myocardial infarction (MI) has not been well described. As part of the Korean Acute MI Registry, we enrolled 3,734 eligible patients who were diagnosed with ST-segment elevation acute MI. The study population was categorized by BMI (into 4 groups according to the World Health Organization classification for the Asian population) and WHR (into 2 sets of 4 groups, 1 set for men and another for women, based on the INTERHEART study). Baseline characteristics and clinical outcomes were analyzed and compared among the BMI and WHR categories. Mean follow-up duration was 199 +/- 37 days. In the BMI category, underweight versus obese patients were older, were more likely to present with heart failure, and underwent guideline-based treatments less frequently. In the WHR category, the reverse trends were apparent for the latter factors except treatment-use frequencies. The highest mortality rate was observed in patients with the lowest BMI and the highest WHR. In an adjusted model, the highest WHR (hazard ratio 5.57, 95% confidence interval 1.53 to 12.29, p = 0.009) and the underweight (hazard ratio 2.88, 95% confidence interval 1.17 to 6.08, p = 0.021) categories within the 2 anthropometric indexes remained as mortality risk factors. In conclusion, the relation between obesity and prognosis after ST-segment elevation acute MI appears complex and should be further assessed in larger population-based cohort studies to determine the associations apparent in this study.
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| pubmed:commentsCorrections | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
1879-1913
|
| pubmed:author |
pubmed-author:ChaeShung-ChullSC,
pubmed-author:ChoMyeong-ChanMC,
pubmed-author:ChoiDong-JuDJ,
pubmed-author:HanKyoo-RokKR,
pubmed-author:JeongMyung-HoMH,
pubmed-author:KimChong-JinCJ,
pubmed-author:KimDong-SuDS,
pubmed-author:KimWoongW,
pubmed-author:KimYoung-JoYJ,
pubmed-author:Korean Acute Myocardial Infarction Registry Investigators,
pubmed-author:LeeSang-HeeSH,
pubmed-author:ParkJong-SeonJS,
pubmed-author:ShinDong-GuDG
|
| pubmed:issnType |
Electronic
|
| pubmed:day |
15
|
| pubmed:volume |
102
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
957-65
|
| pubmed:dateRevised |
2009-2-11
|
| pubmed:meshHeading |
pubmed-meshheading:18929693-Aged,
pubmed-meshheading:18929693-Body Mass Index,
pubmed-meshheading:18929693-Coronary Angiography,
pubmed-meshheading:18929693-Electrocardiography,
pubmed-meshheading:18929693-Female,
pubmed-meshheading:18929693-Humans,
pubmed-meshheading:18929693-Incidence,
pubmed-meshheading:18929693-Korea,
pubmed-meshheading:18929693-Male,
pubmed-meshheading:18929693-Middle Aged,
pubmed-meshheading:18929693-Myocardial Infarction,
pubmed-meshheading:18929693-Obesity,
pubmed-meshheading:18929693-Prevalence,
pubmed-meshheading:18929693-Prognosis,
pubmed-meshheading:18929693-Retrospective Studies,
pubmed-meshheading:18929693-Risk Factors,
pubmed-meshheading:18929693-Survival Rate,
pubmed-meshheading:18929693-Waist-Hip Ratio
|
| pubmed:year |
2008
|
| pubmed:articleTitle |
Impact of body mass index and waist-to-hip ratio on clinical outcomes in patients with ST-segment elevation acute myocardial infarction (from the Korean Acute Myocardial Infarction Registry).
|
| pubmed:affiliation |
Yeungnam University Hospital, Daegu, South Korea.
|
| pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't,
Multicenter Study
|