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Published on: August 7, 2012
Liver: an alarm for the heart?
Seyed Amir Mirbagheri1, Armin Rashidi, Seifollah Abdi
1Amir-Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Insights
Fatty liver is a strong independent predictor of coronary artery disease. This finding highlights fatty liver as a significant warning sign for heart health.
Area of Science:
- Cardiology
- Hepatology
- Metabolic Syndrome
Background:
- Fatty liver and coronary artery disease share common risk factors.
- Their frequent coexistence is often attributed to these shared risk factors.
- This study investigates the independent association between fatty liver and coronary artery disease.
Purpose of the Study:
- To assess the independent association between fatty liver and angiographic coronary artery disease.
- To determine if fatty liver is an independent predictor of coronary artery disease, beyond shared risk factors.
Main Methods:
- A case-control study involving 317 adult patients undergoing coronary angiography.
- Patients were divided into two groups: normal/mildly abnormal coronary angiography (n=85) and clinically relevant coronary artery disease (n=232).
- Liver sonography was performed on the same day as coronary angiography.
Main Results:
- Significant differences were observed between groups in gender, fasting blood glucose, LDL, diabetes, hypertension, and fatty liver.
- Fatty liver emerged as the strongest independent predictor of coronary artery disease (OR=8.48, P<0.001).
- Diabetes (OR=2.94, P=0.002) and male gender (OR=2.31, P=0.014) were also independent predictors.
Conclusions:
- Fatty liver is a significant independent predictor of coronary artery disease.
- Fatty liver serves as a crucial alarm for the presence of significant coronary artery disease.
- These findings emphasize the importance of considering fatty liver in cardiovascular risk assessment.
Background/Aims:
Fatty liver (FL) and coronary artery disease (CAD) have several risk factors in common, which are usually considered to account for their frequent coexistence. The independent association between FL and angiographic CAD was assessed in this case-control study by considering the contribution of their shared risk factors.
Methods:
Three hundred and seventeen adult patients who underwent elective coronary angiography (CAG) were recruited immediately after CAG and classified into either of the two groups A (normal or mildly abnormal CAG; n=85) or B (clinically relevant CAD; n=232). A liver sonography was performed on the same day as CAG.
Results:
The groups were significantly different in terms of gender, fasting blood glucose, low-density lipoproteins, diabetes (DM), hypertension and FL. In binary logistic regression, FL was the strongest independent predictor of CAD [P<0.001, odds ratio (OR)=8.48%, 95% confidence interval (CI)=4.39-16.40], followed by DM (P=0.002, OR=2.94) and male gender (P=0.014, OR=2.31). This pattern of associations did not change after clinically significant variables (waist-to-hip ratio, body mass index, triglycerides and high-density lipoproteins) were added to analysis.
Conclusion:
Fatty liver seems to be a strong independent alarm for the presence of significant CAD.
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