Correlation of waist-hip ratio, BMI and glycemic status with ischemic heart disease patients and their outcome
Vaishali Patel, Jignesh Vasava
Background: Over last few years, Obesity associated comorbidities independent predictors for cardiovascular events has gained considerable attention as major public health problem. Study is aimed to determine correlation between WC, W/H ratio, BMI and Glycemic status with ischemic heart disease. Material and Methods: An observational study conducted in 100UA patients. Sociodemographic and clinical data included: Biodata, height, weight, waist circumference (WC), waist hip ratio, Glycemic status (FBS, PP2BS, HbA1c), Troponin T and atherosclerotic risk factors.Complications were evaluated on OPD basis30 days after discharge. Results Middle age men( mean 51.2+6.4yr) being M:F of 1.5:1.72% males and 88% females had high WC with mean W/H ratio was 0.95+0.1 for male and 0.89+0.2 for female.40 were overweight while 52 and 8 were obese and normal wt respectively with mean BMI was 25.1+1.2 kg/m2. 68% and 72% had high FBS and PP2BS level with mean FBS and PP2BS was 143+7 and 173+7 mg/dl respectively.75% and 25% had HbA1c level > 6 and<6 respectively.81.2% patients remained free of cardiac events,13.7% admitted with recurrent ischemia during 30 days follow up. Conclusion: there is positive correlation between high W/H ratio, high BMI and Diabetes mellitus in UA patients. No difference found in 30 day cardiovascular events between normal weight, over weight, obese or very obese. Study showed no relationship between mortality risk and BMI, W/H ratio or WC in 30 days after hospital discharge consistent with “obesity paradox”.