Saggital Abdominal diameter in Patients of Myocardial Infarction and its Corelation with Cardiometabolic Risk Profile

Coronary artery disease (CAD) is a modern epidemic. Potentially modifiable risk factors for cardiovascular disease include smoking, hypertension, sedentary lifestyle, overweight and obesity, diabetes, dyslipidemia. Anthropometric measures remain preferred means of evaluating body fat in settings where time consuming and costly diagnostic tools are not feasible. Fat distribution is a more important risk factor than excess body fat. Visceral fat is more active; contribute to development of hypertension, insulin resistance, and cardiovascular disease. Saggital abdominal diameter is a measure of visceral fat and gives easy assessment of cardio metabolic risk profile

Sagittal abdominal diameter in patients with MI and its correlation with cardio metabolic risk profile

To Correlate and Compare various Anthropometric Measurements with biochemical profile

Study was conducted in in Department of medicine, JAH Hospital, GRMC Gwalior over a time period of 1 year. Patient diagnosed to have myocardial infarction is included in our studies. Detailed history, clinical examination was done in all the patients. Heart rate, blood pressure, biochemical profile, anthropometric measurements BMI, WC, WHR, SAD was noted. Pearson correlation coefficient between these measures and risk factors studied. Importance of these measures evaluated

MI was found to be more prevalent in males than in females. Patients in age group >45 found to have more risk of developing MI. women postmenopausal age group was found to be at increased risk. Dyslipidemia, DM, hypertension, age>45 was found to be prevalent risk factors. Among dyslipidemic patients atherogenic dyslipidemia (low HDL, high TG) was found to be more prevalent. Among hypertensive systolic blood pressure was found to be more deranged and reliable risk factor than diastolic blood pressure SAD>BMI>Whtr show good correlation with metabolic risk factors so predictive measurements in males. BMI>SAD show good correlation with metabolic risk factors, so predictive measurements in females SAD show better correlation in younger age group<45yr

Anthropometric measurements show strong correlation with metabolic risk factors, they are useful predictive tool of upcoming comorbidities. SAD is a direct measure of visceral fat which contributes to the development of insulin resistance, hypertension, atherogenic dyslipidemia which in turn lead to Coronary artery disease, thus by taking these anthropometric measurements one can predict chance of onset of these comorbidities. By targeting those population, making lifestyle modifications, 150 mts exercise per week, caloric restriction, amount of visceral fat can be reduced, thus will be able to prevent fatal outcome or improve life standards of those with co morbidities