The relationship between coronary collateral circulation and visceral fat

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dc.authorid0000-0003-0505-9784en_US
dc.authorid0000-0001-8470-1928en_US
dc.authorid0000-0003-2243-6190en_US
dc.authorid0000-0002-9049-7123en_US
dc.authorid0000-0002-9049-7123en_US
dc.authorid0000-0002-8994-7414en_US
dc.contributor.authorAktan, Adem
dc.contributor.authorGüzel, Tuncay
dc.contributor.authorÖzbek, Mehmet
dc.contributor.authorDemir, Muhammed
dc.contributor.authorArslan, Bayram
dc.contributor.authorAslan, Burhan
dc.contributor.authorKılıç, Raif
dc.date.accessioned2023-01-20T12:07:43Z
dc.date.available2023-01-20T12:07:43Z
dc.date.issued2021en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalıen_US
dc.description.abstractObjectives: Collateral circulation is assumed to prevent myocardial ischemia in healthy subjects and in patients with coronary artery disease. Visceral adipose tissue is an active component of total body fat, which holds some biochemical characteristics that have impact on several normal and pathological processes in the human body. In this study, we investigated the relationship between visceral fat ratio and coronary collateral circulation (CCC).Materials and Methods: Totally 148 patients with stable angina pectoris were recruited to the study and all patients’ heights and weights were recorded after the coronary angiography. The study subjects were divided into two groups as those between 1 and 9, and those >10 by classifying their visceral fat ratio with bioelectrical impedance analysis method. Patients were classified as poor CCC group (grade 0 and 1) and good CCC group (grade 2 and 3) based on the Rentrop’s classification of CCC.Results: In the analysis in accordance with collateral classification, visceral fat percentage (13.7±4.7 versus 10.1±4.0, p=0.01) and body mass index (28.2±2.4 versus 27.3±2.3, p=0.040) were found significantly higher in the poor collateral group. Diabetes mellitus was significantly higher in patient with high visceral fat ratio. In multivariate logistic regression analysis for collateral growth, visceral fat percentage [odds ratio (OR): 0.740, %95 confidence interval (CI): 0.602 0.909, p=0.040] and coronary stenosis percentage (OR: 1.220, %95 CI: 1.070-1.390, p=0.003) were found meaningful, independent from the other factors. In ROC analysis, increase in visceral fat level decreased collateral growth with 72.7% sensitivity and 58.5% specificity.Conclusion: The increase in visceral fat seems an independent factor for poor collateral development.en_US
dc.identifier.citationAktan, A., Güzel, T., Özbek, M., Demir, M., Kılıç, R., Arslan, B. ve diğerleri. (2022). The relationship between coronary collateral circulation and visceral fat. E Journal of Cardiovascular Medicine, 9(1), 27-38.en_US
dc.identifier.doi10.32596/ejcm.galenos.2021-01-05
dc.identifier.endpage38en_US
dc.identifier.issn2147-1924
dc.identifier.issue1en_US
dc.identifier.startpage27en_US
dc.identifier.trdizinid406268
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/406268
dc.identifier.urihttps://hdl.handle.net/11468/11215
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/406268
dc.identifier.volume9en_US
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorÖzbek, Mehmet
dc.institutionauthorDemir, Muhammed
dc.language.isoenen_US
dc.publisherGalenos Yayıncılıken_US
dc.relation.ispartofE Journal of Cardiovascular Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCoronary artery diseaseen_US
dc.subjectCollateral vesselen_US
dc.subjectVisceral faten_US
dc.subjectCoronary artery disease risk factoren_US
dc.titleThe relationship between coronary collateral circulation and visceral faten_US
dc.titleThe relationship between coronary collateral circulation and visceral fat
dc.typeArticleen_US

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