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Evaluation of the Correlation between Coronary Artery Disease and Nonalcoholic Fatty Liver Disease: Is There Any
Zahra Momayez Sanat1, Seyyed Mojtaba Ghorashi2,3, Ava Ajir1
1Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Insights
Nonalcoholic fatty liver disease (NAFLD) is prevalent in patients with coronary artery disease (CAD). NAFLD is an independent risk factor for CAD, suggesting routine screening for CAD in NAFLD patients.
Area of Science:
- Cardiology
- Hepatology
- Public Health
Background:
- Coronary artery disease (CAD) and nonalcoholic fatty liver disease (NAFLD) are globally prevalent conditions.
- Investigated the prevalence of NAFLD in patients diagnosed with CAD and explored the association between these two diseases.
Purpose of the Study:
- To determine the prevalence of NAFLD in patients with CAD.
- To assess the relationship between NAFLD and CAD.
Main Methods:
- A case-control study conducted from January 2017 to January 2018 at Ziaeian Hospital, Tehran, Iran.
- Included 180 participants (35-75 years) undergoing myocardial perfusion imaging, divided into CAD+ and CAD- groups based on >50% coronary artery stenosis.
- NAFLD was evaluated using abdominal sonography and laboratory tests; patients with other liver conditions were excluded.
Main Results:
- The study included 122 women (67.8%) and 58 men (32.2%) with a mean age of 49.31±5.42 years.
- NAFLD was detected in 115 patients, with a prevalence of 78.9% in the CAD+ group.
- NAFLD was identified as an independent risk factor for CAD, with an odds ratio of 3.9.
Conclusions:
- High prevalence of NAFLD observed in the coronary artery disease patient group.
- Given the rising incidence of fatty liver disease and obesity, CAD screening is recommended for all NAFLD patients.
Background:
Coronary artery disease (CAD) and nonalcoholic fatty liver disease (NAFLD) are 2 common diseases around the globe. This investigation aimed to evaluate NAFLD prevalence in patients with CAD and the potential association between NAFLD and CAD.
Methods:
This case-control study was performed between January 2017 and January 2018 at Ziaeian Hospital, Tehran, Iran. All patients aged between 35 and 5 years and referred for myocardial perfusion imaging were selected for the study. Totally, 180 participants were divided into CAD+ and CAD- groups. CAD was defined as stenosis of greater than 50.0% in at least 1 coronary artery. Afterward, all the patients underwent abdominal sonography and laboratory tests for NAFLD evaluation. Patients with a history of liver diseases, alcohol consumption, and drug-induced steatosis were excluded.
Results:
The study population consisted of 122 women (67.8%) and 58 men (32.2%) at a mean age of 49.31±5.42 years. NAFLD was detected in 115 patients. NAFLD prevalence in the CAD+ group was 78.9%. NAFLD was determined as an independent risk factor for CAD (OR, 3.9).
Conclusion:
NAFLD prevalence was high in the CAD+ group. The incidence of steatosis is on the rise in the general population. Hence, considering the high prevalence of abdominal obesity, all patients with NAFLD should be evaluated for CAD.
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