The effect of Body mass index on clinical characteristics and early outcome in acute coronary syndrome

摘要

Obesity is a risk factor for coronary heart disease, but its independent effect on clinical outcomes following acute coronary syndromes (ACS) has not been quantified. Two hundreds and ninety one patients were enrolled in this study. Patients were divided into three groups according to BMI: under 25, 26-30 and more than 30. Demographic variables, clinical features and adverse outcomes during hospitalization were compared in different levels of BMI.Diabetes was the only variable which was more prevalent in overweight participants. Higher BMI was not a risk factor for early outcomes. Male gender was the only remaining variable in the model of logistic regression as a predictor of adverse outcomes. Distribution of risk factors did not differ between non-obese and obese patients. These findings indicate the necessity of using the same secondary prevention approaches in patients with ACS in different levels of obesity.