Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Obesity and acute coronary syndrome: paradox or misperception?
Session:
Posters 2 - Écran 9 - Doença Coronária
Speaker:
Rita Loreto Ilhão Moreira
Congress:
CPC 2019
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
13.2 Acute Coronary Syndromes – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Rita Ilhão Moreira; Ana Teresa Timóteo; Tânia Branco Mano; José Miguel Viegas; Tiago Mendoça; António Valentim Gonçalves; Madalena Coutinho Cruz; Pedro Modas Daniel; Dra. Inês Rodrigues; Luís Almeida Morais; Sílvia Aguiar Rosa; Ramiro Sá Carvalho; Maria De Lurdes Ferreira; Rui Cruz Ferreira
Abstract
<p><strong>Background: </strong>A better prognosis in obese patients (pts) has been described in acute coronary syndromes (ACS), leading to the concept of obesity paradox. However, to what extent this is irrespective of other characteristics remains inconclusive.</p> <p><strong>Aims: </strong>To determine the impact of body mass index (BMI) on the presentation, treatment and outcome of ACS.</p> <p><strong>Methods: </strong>We analysed consecutive patients with ACS in a single tertiary cardiology centre between 2005 and 2016. The study population was divided according to BMI (<20, 20-25, 25–30, 30-35 e >35 kg/m<sup>2</sup>). Independent predictors of in-hospital mortality and of a composite of all-cause mortality, rehospitalisation for cardiovascular causes, angiography, percutaneous coronary intervention and coronary artery bypass grafting were assessed by multivariate logistic regression.</p> <p><strong>Results: </strong>2964 pts with ACS were included (mean age 63±13 year, 72% male), mean BMI was 27±4 kg/m<sup>2</sup>. Higher BMI pts were younger (p <0.001), more often female (p <0.001) and had more arterial hypertension (p <0.001), diabetes mellitus (p <0.001), dyslipidaemia (p <0.001) and family history (p 0.017), but lower smoking habits (p <0.001). Elevated BMI was associated with higher heart rate (p 0.046) and systolic blood pressure (p <0.001) at presentation. There were no differences regarding type of ACS, angiographic features nor treatment. Higher BMI groups had less left ventricular systolic dysfunction (p 0.008), though there were no significant differences in Killip class. At univariable analysis, higher BMI was associated with better in-hospital and 1 year outcomes. However, after adjusting for age or other prognostic variables, BMI’s protective role was lost (table 1).</p> <p><strong>Conclusion: </strong>Baseline characteristics in ACS patients significantly differ according to their BMI status. The obesity paradox was not evident after adjusting for confoundable variables.</p>
Our mission: To reduce the burden of cardiovascular disease
Visit our site