CENTRAL OBESITY AND ACUTE CORONARY SYNDROME Authors: Alrubayi ZAN And Mahmood AI
ABSTRACT
Background: The I.H.D is the first most important cause of death all over the world. Central
obesity is highly associated with ischemic heart disease (1). As it’s the 5th most important risk
factor for ischemic heart disease. Central obesity gives both visceral and subcutaneous fat and
hence total fatness, BMI is a poor index than central fatness (2).
Aim:
To know the percentage of patient with Acute Coronary Syndrome (a.c.s.) has central obesity.
Patients and methods:
220 patients with a.c.s were admitted to the c C.C.U of Sheikh Zayed Hospital within 2 months
(January _February 2019).
If patient has STEMI and within 12h from beginning of chest pain to arrival to the hospital and if
there are no contraindications, the patient is given fibrinolytic treatment and if available referred
to other hospital for Percutaneous coronary intervention (p.c.i.) usually patient stayed 5 days in
the C.C.U. if there is no complication.
Result:
Of 220 case of a.c.s (MI and U.a.)
There were 117 patients with MI (53%) and 103 patients with u.a (47%)
we consider obese patient those with waist circumference 94_102 cm for men and 80_88 cm for
women.
The obese patients in the study 123 (56%) and non-obese 97 (44%)
Those 123 obese patients 60 (49%) male and 63 patient (51%) female the bulk of patient with
a.c.s mostly at sixties age group as comprising 30%of total patient with a.c.s and fifties form
26% and seventies 15%.
Discussion:
So we consider in our study central obesity by measuring the waist circumference according to
guideline (international diabetes federation)(3).
In our study showing that patient with increasing weight 123 patient of 220 more in female than
male. 60% for male. 63% for female.
Most cases of a.c.s is within sixties age group than in seventies and the last is fifties.
Keywords: Obesity, Coronary, Hypertension
