Archives of Endocrinology and Metabolism (Mar 2020)

Visceral fat index: a novel predictor for coronary collateral circulation

  • Yasin Sahinturk,
  • Selcuk Kucukseymen,
  • Rauf Avci,
  • Ayse Akarsu,
  • Basak Oguz Yolcular,
  • Gokhan Koker,
  • Abdullah Tokuc,
  • Nermin Bayar,
  • Sakir Arslan

DOI
https://doi.org/10.20945/2359-3997000000218
Journal volume & issue
Vol. 64, no. 2
pp. 150 – 158

Abstract

Read online

ABSTRACT Objective This study was designed to investigate the role of visceral adiposity along with other clinical parameters in predicting poor coronary collateral circulation (CCC) among patients with severe obstructive coronary artery disease (CAD). Subjects and methods A total of 135 patients with severe obstructive CAD and good (n = 70) or poor (n = 65) CCC were included. Data on angiographically detected CCC, the quality criteria for CCC (Rentrop scores) and visceral fat index (VFI) obtained via bioelectrical impedance were compared between good and poor CCC groups. Independent predictors of poor CCC, the correlation between VFI and Rentrop score and the role of VFI in the identification of CCC were analyzed. Results A significant negative correlation was noted between VFI and Rentrop scores (r = -0.668, 9 (AUC [area under the curve] (95% CI): 0.898 (0.834-0.943), p < 0.0001) to be a potential predictor of poor CCC with a sensitivity of 95.38% and specificity of 85.71%. Conclusion In conclusion, our findings revealed comorbid hypertension and higher VFI to significantly predict the risk of poor CCC in patients with severe obstructive CAD.

Keywords