Predictive Value of Abdominal Fat Distribution on Coronary Artery Disease Severity Stratified by Computed Tomography-Derived SYNTAX Score
This study aimed to evaluate the association between abdominal fat distribution (AFD) and coronary artery disease (CAD) complexities using the computed tomography (CT)-derived SYNTAX score (CT-SXscore). Coronary computed tomographic angiography (CCTA) was performed in patients with suspected CAD. Pl...
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| Veröffentlicht in: | The American journal of cardiology 2021-07, Vol.150, p.32-39 |
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| creator | Otagiri, Kyuhachi Machida, Keisuke Itagaki, Tadashi Takeuchi, Takahiro Tsujinaka, Yusuke Yui, Hisanori Nakamura, Chie Sakai, Takahiro Kato, Tamon Saigusa, Tatsuya Ebisawa, Soichiro Motoki, Hirohiko Kuwahara, Koichiro Kitabayashi, Hiroshi |
| description | This study aimed to evaluate the association between abdominal fat distribution (AFD) and coronary artery disease (CAD) complexities using the computed tomography (CT)-derived SYNTAX score (CT-SXscore). Coronary computed tomographic angiography (CCTA) was performed in patients with suspected CAD. Plain abdominal CT was performed to measure visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) areas. To assess AFD, VAT/SAT (V/S) ratios were calculated. The CT-SXscore was calculated in patients with significant stenoses assessed by CCTA. Of 942 enrolled patients, 310 (32.9%) had 1 or more significant stenoses. The CT-SXscore showed a positive correlation with the V/S ratio (r = 0.33, p < 0.001). In the multivariate regression analysis, the V/S ratio was the only independent predictor for CAD severity based on the CT-SXscore (β = 0.25; t = 4.14; p < 0.001), even though the absolute SAT and VAT areas showed no relationship to the CT-SXscore. Regarding the 4 CAD-patient groups divided according to their median VAT and SAT areas, the CT-SXscore was significantly higher for the high VAT/low SAT group than for any other group (19.6 ± 11.5 vs 13.3 ± 9.6 in the low VAT/low SAT, 10.1 ± 8.5 in the low VAT/high SAT, and 12.2 ± 8.7 in the high VAT/high SAT groups; p < 0.001 for all). In conclusion, it was found that the V/S ratio is a useful index for predicting CAD severity and that AFD may be a more important risk factor for CAD than the absolute amount of each abdominal fat. |
| doi_str_mv | 10.1016/j.amjcard.2021.03.035 |
| format | Article |
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Coronary computed tomographic angiography (CCTA) was performed in patients with suspected CAD. Plain abdominal CT was performed to measure visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) areas. To assess AFD, VAT/SAT (V/S) ratios were calculated. The CT-SXscore was calculated in patients with significant stenoses assessed by CCTA. Of 942 enrolled patients, 310 (32.9%) had 1 or more significant stenoses. The CT-SXscore showed a positive correlation with the V/S ratio (r = 0.33, p < 0.001). In the multivariate regression analysis, the V/S ratio was the only independent predictor for CAD severity based on the CT-SXscore (β = 0.25; t = 4.14; p < 0.001), even though the absolute SAT and VAT areas showed no relationship to the CT-SXscore. Regarding the 4 CAD-patient groups divided according to their median VAT and SAT areas, the CT-SXscore was significantly higher for the high VAT/low SAT group than for any other group (19.6 ± 11.5 vs 13.3 ± 9.6 in the low VAT/low SAT, 10.1 ± 8.5 in the low VAT/high SAT, and 12.2 ± 8.7 in the high VAT/high SAT groups; p < 0.001 for all). In conclusion, it was found that the V/S ratio is a useful index for predicting CAD severity and that AFD may be a more important risk factor for CAD than the absolute amount of each abdominal fat.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2021.03.035</identifier><identifier>PMID: 34006376</identifier><language>eng</language><publisher>BRIDGEWATER: Elsevier Inc</publisher><subject>Abdomen ; Adipose tissue ; Angiography ; Body composition ; Body mass index ; Cardiac & Cardiovascular Systems ; Cardiovascular disease ; Cardiovascular System & Cardiology ; Cholesterol ; Computed tomography ; Coronary artery ; Coronary artery disease ; Coronary vessels ; Diabetes ; Heart diseases ; Heart rate ; Hypertension ; Life Sciences & Biomedicine ; Mathematical analysis ; Medical imaging ; Patients ; Regression analysis ; Risk analysis ; Risk factors ; Science & Technology ; Syntax ; Tomography</subject><ispartof>The American journal of cardiology, 2021-07, Vol.150, p.32-39</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><rights>2021. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>2</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000659342900005</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c459t-cd4377003543b8c66d8b9088cc2bc3182396c60953752578016a5960d706b2be3</citedby><cites>FETCH-LOGICAL-c459t-cd4377003543b8c66d8b9088cc2bc3182396c60953752578016a5960d706b2be3</cites><orcidid>0000-0002-2343-0455</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2535802744?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,3551,27928,27929,45999,64389,64391,64393,72473</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34006376$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Otagiri, Kyuhachi</creatorcontrib><creatorcontrib>Machida, Keisuke</creatorcontrib><creatorcontrib>Itagaki, Tadashi</creatorcontrib><creatorcontrib>Takeuchi, Takahiro</creatorcontrib><creatorcontrib>Tsujinaka, Yusuke</creatorcontrib><creatorcontrib>Yui, Hisanori</creatorcontrib><creatorcontrib>Nakamura, Chie</creatorcontrib><creatorcontrib>Sakai, Takahiro</creatorcontrib><creatorcontrib>Kato, Tamon</creatorcontrib><creatorcontrib>Saigusa, Tatsuya</creatorcontrib><creatorcontrib>Ebisawa, Soichiro</creatorcontrib><creatorcontrib>Motoki, Hirohiko</creatorcontrib><creatorcontrib>Kuwahara, Koichiro</creatorcontrib><creatorcontrib>Kitabayashi, Hiroshi</creatorcontrib><title>Predictive Value of Abdominal Fat Distribution on Coronary Artery Disease Severity Stratified by Computed Tomography-Derived SYNTAX Score</title><title>The American journal of cardiology</title><addtitle>AM J CARDIOL</addtitle><addtitle>Am J Cardiol</addtitle><description>This study aimed to evaluate the association between abdominal fat distribution (AFD) and coronary artery disease (CAD) complexities using the computed tomography (CT)-derived SYNTAX score (CT-SXscore). Coronary computed tomographic angiography (CCTA) was performed in patients with suspected CAD. Plain abdominal CT was performed to measure visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) areas. To assess AFD, VAT/SAT (V/S) ratios were calculated. The CT-SXscore was calculated in patients with significant stenoses assessed by CCTA. Of 942 enrolled patients, 310 (32.9%) had 1 or more significant stenoses. The CT-SXscore showed a positive correlation with the V/S ratio (r = 0.33, p < 0.001). In the multivariate regression analysis, the V/S ratio was the only independent predictor for CAD severity based on the CT-SXscore (β = 0.25; t = 4.14; p < 0.001), even though the absolute SAT and VAT areas showed no relationship to the CT-SXscore. Regarding the 4 CAD-patient groups divided according to their median VAT and SAT areas, the CT-SXscore was significantly higher for the high VAT/low SAT group than for any other group (19.6 ± 11.5 vs 13.3 ± 9.6 in the low VAT/low SAT, 10.1 ± 8.5 in the low VAT/high SAT, and 12.2 ± 8.7 in the high VAT/high SAT groups; p < 0.001 for all). In conclusion, it was found that the V/S ratio is a useful index for predicting CAD severity and that AFD may be a more important risk factor for CAD than the absolute amount of each abdominal fat.</description><subject>Abdomen</subject><subject>Adipose tissue</subject><subject>Angiography</subject><subject>Body composition</subject><subject>Body mass index</subject><subject>Cardiac & Cardiovascular Systems</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular System & Cardiology</subject><subject>Cholesterol</subject><subject>Computed tomography</subject><subject>Coronary artery</subject><subject>Coronary artery disease</subject><subject>Coronary vessels</subject><subject>Diabetes</subject><subject>Heart diseases</subject><subject>Heart rate</subject><subject>Hypertension</subject><subject>Life Sciences & Biomedicine</subject><subject>Mathematical analysis</subject><subject>Medical imaging</subject><subject>Patients</subject><subject>Regression 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Tatsuya</au><au>Ebisawa, Soichiro</au><au>Motoki, Hirohiko</au><au>Kuwahara, Koichiro</au><au>Kitabayashi, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive Value of Abdominal Fat Distribution on Coronary Artery Disease Severity Stratified by Computed Tomography-Derived SYNTAX Score</atitle><jtitle>The American journal of cardiology</jtitle><stitle>AM J CARDIOL</stitle><addtitle>Am J Cardiol</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>150</volume><spage>32</spage><epage>39</epage><pages>32-39</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><abstract>This study aimed to evaluate the association between abdominal fat distribution (AFD) and coronary artery disease (CAD) complexities using the computed tomography (CT)-derived SYNTAX score (CT-SXscore). Coronary computed tomographic angiography (CCTA) was performed in patients with suspected CAD. Plain abdominal CT was performed to measure visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) areas. To assess AFD, VAT/SAT (V/S) ratios were calculated. The CT-SXscore was calculated in patients with significant stenoses assessed by CCTA. Of 942 enrolled patients, 310 (32.9%) had 1 or more significant stenoses. The CT-SXscore showed a positive correlation with the V/S ratio (r = 0.33, p < 0.001). In the multivariate regression analysis, the V/S ratio was the only independent predictor for CAD severity based on the CT-SXscore (β = 0.25; t = 4.14; p < 0.001), even though the absolute SAT and VAT areas showed no relationship to the CT-SXscore. Regarding the 4 CAD-patient groups divided according to their median VAT and SAT areas, the CT-SXscore was significantly higher for the high VAT/low SAT group than for any other group (19.6 ± 11.5 vs 13.3 ± 9.6 in the low VAT/low SAT, 10.1 ± 8.5 in the low VAT/high SAT, and 12.2 ± 8.7 in the high VAT/high SAT groups; p < 0.001 for all). In conclusion, it was found that the V/S ratio is a useful index for predicting CAD severity and that AFD may be a more important risk factor for CAD than the absolute amount of each abdominal fat.</abstract><cop>BRIDGEWATER</cop><pub>Elsevier Inc</pub><pmid>34006376</pmid><doi>10.1016/j.amjcard.2021.03.035</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2343-0455</orcidid></addata></record> |
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| subjects | Abdomen Adipose tissue Angiography Body composition Body mass index Cardiac & Cardiovascular Systems Cardiovascular disease Cardiovascular System & Cardiology Cholesterol Computed tomography Coronary artery Coronary artery disease Coronary vessels Diabetes Heart diseases Heart rate Hypertension Life Sciences & Biomedicine Mathematical analysis Medical imaging Patients Regression analysis Risk analysis Risk factors Science & Technology Syntax Tomography |
| title | Predictive Value of Abdominal Fat Distribution on Coronary Artery Disease Severity Stratified by Computed Tomography-Derived SYNTAX Score |
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