Ultrasonographically detected hepatosteatosis independently predicts the presence and severity of coronary artery disease


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Yılmaz A., Yılmaz F., Beydilli İ., SÖNMEZ B. M., Duyan M., Özdemir M., ...Daha Fazla

African Health Sciences, cilt.22, sa.2, ss.273-285, 2022 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 2
  • Basım Tarihi: 2022
  • Doi Numarası: 10.4314/ahs.v22i2.31
  • Dergi Adı: African Health Sciences
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, Index Islamicus, MEDLINE, Pollution Abstracts, Veterinary Science Database
  • Sayfa Sayıları: ss.273-285
  • Anahtar Kelimeler: gensini score, Nonalcoholic fatty liver disease, obesity
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Trakya Üniversitesi Adresli: Evet

Özet

Background: Nonalcoholic fatty liver disease (NAFLD) has shown to be associated with coronary artery disease (CAD) Objectives: The aim of our study was to evaluate the association between the presence and severity of CAD and NAFLD. Methods: The study group consisted of 153 patients who underwent coronary angiographies. Patients were categorized into CAD and non-CAD groups. CAD severity was determined by the number of CAD-involved arteries and the vessel score mul-tiplied by Gensini score, the latter judging CAD severity. Fatty liver was diagnosed by abdominal ultrasonography (USG), with the patients being categorized by the degree of hepatosteatosis, as Grade 0, Grade 1, and Grade 2-3. Results: Among the whole study population, 47.1% of patients (n=72) were female and 52.9% of patients (n=81) were male. Forty-three patients had normal coronary arteries; 27 patients had non-critical CAD and side branch disease; and 83 patients had clinically significant CAD (stenosis>50%). The rate of CAD and Gensini score were significantly different between Grade 0, 1 and 2-3 hepatosteatosis groups (p<0.05). Patients with CAD had a significantly higher AST level than those without (p< 0.05). Conclusions: Ultrasonographically detected hepatosteatosis independently predicts the presence and severity of CAD.