Yaşar TURAN, Vahit DEMİR

VİSSERAL ADİPOZİTE İNDEKSİ İLE KORONER ARTER HASTALIĞI ARASINDAKİ İLİŞKİ

Amaç: Koroner arter hastalığı (KAH) tüm dünyada morbidite ve mortalitenin önemli bir nedenidir. KAH riskiaçısından visseral adipozite, tek başına kilo fazlalığından daha değerli bir göstergedir. Biz bu çalışmada, tanıamaçlı elekti koroner anjiyograf yapılan hastalarda visseral adipozite indeksi (VAİ) ile KAH varlığı ve ciddiyet arasındaki ilişkiyi değerlendirmeyi amaçladık.Yöntem: Bu retrospekti çalışmada, kliniğimizde Ocak 2018 – Aralık 2018 tarihleri arasında tanısal koroneranjiyograf uygulanan 120 hastanın verileri kullanıldı. Koroner anjiyografier geriye dönük olarak incelendi.En az bir koroner arterinde %50 ve üzerinde darlığı olan hastalar KAH grubuna (n=75), belirgin koroner darlığı olmayan hastalar (n=45) kontrol grubuna alındı. Hastaların demografi özellikleri, boy, kilo, bel çevrelerive tetkik sonuçları kaydedildi. VAİ skorları kadın ve erkek hastalar için ayrı ayrı hesaplandı.Bulgular: Kontrol grubu ile karşılaştııldığında, açlık serum glukoz (p=0.025) ve VAİ (p = 0.014) KAH grubunda anlamlı olarak yüksek bulundu. KAH grubunda SYNTAX skoru, açlık glukoz (p = 0.011), trigliserid (p= 0.048) ve VAİ (p=0.003) ile poziti olarak korele idi. Çok değişkenli doğrusal regresyon analizinde, açlıkserum glukozu (p=0.012) ve VAİ (p =0.008) SYNTAX skorunun bağımsız prediktörü olarak tespit edildi.Sonuç: Koroner arter hastalığının takibinde değiştiilebilir risk faktörlerinin belirlenmesi ve yönetii çokönemlidir. Basit bir skorlama olan VAİ, KAH riskini belirlemek için kullanışlı bir yöntem olabilir.

The Relationship Between Visceral Adiposity Index And Coronary Artery Disease

Aim: Coronary artery disease (CAD) is an important cause of morbidity and mortality worldwide. In terms of CAD risk, visceral adiposity is a more valuable indicator than weight alone. In this study, we aimed to evaluate the relatin of visceral adiposity index (VAI) with the presence and severity of CAD in patints undergoing diagnosti coronary angiography. Methods: In this retrospectie study, data of 120 patints who underwent diagnosti coronary angiography between January 2018 and December 2018 were used. Coronary angiograms of the patints were evaluated retrospectiely. Patints with at least 50% stenosis in one or more coronary artery were included in the CAD group (n = 75) and patints without signifiant coronary stenosis (n = 45) were included in the control group. Demographic characteristis, height, weight, waist circumference and laboratory results were recorded. VAI scores were calculated separately for male and female patints. Results: Fastig serum glucose (p = 0.025) and VAI (p = 0.014) were signifiantly higher in CAD group when compared with control group. SYNTAX score was positiely correlated with fastig glucose (p = 0.011), triglyceride (p = 0.048) and VAI (p = 0.003) in the CAD group. In multiariate linear regression analysis, fastig serum glucose (p = 0.012) and VAI (p = 0.008) were determined as independent predictors of SYNTAX score. Conclusion: The determinatin and management of modifible risk factors is very important in the followup of patints with CAD. As a simple scoring method, VAI may be useful for determining the risk of CAD.

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