CAJ | 학술논문

目的：探讨体质指数（BMI）和腰围（WC）与冠状动脉慢血流（SCF）之间的相关性。方法：入选左室射血功能正常，经冠状动脉造影证实矫正的TIMI血流帧计数（CTFC）＞27的CSF患者及同期经冠脉造影显示冠脉血流正常者为研究对象，其中CSF组92例，正常血流组92例，所有入选者常规测量身高、腰围、体重，计算BMI。分析BMI、腰围与CTFC帧计数的关系。结果：两组入选者基线资料相当CSF组患者腰围为（92.9±12.1）cm，BMI为（30.9±5.8）kg/m2，正常血流组腰围为（80.3±8.7）cm，BMI为（26.2±4.3）kg/m2，CSF组WC和BMI均明显高于正常血流组，两组比较差异有显著统计学意义，（P＜0.01）；BMI及WC与CSF多因素logistic回归分析提示， WC＞85cm组患病危险OR及95％CI为1.628（1.425~1.859， P＜0.05）；BMI≥28kg/m2对CSF的患病危险OR及95％CI为3.710（3.148~4.371， P＜0.05）。结论：BMI及WC与CSF相关，BMI及WC增高是冠状动脉慢血流的危险因素。
목적：탐토체질지수（BMI）화요위（WC）여관상동맥만혈류（SCF）지간적상관성。방법：입선좌실사혈공능정상，경관상동맥조영증실교정적TIMI혈류정계수（CTFC）＞27적CSF환자급동기경관맥조영현시관맥혈류정상자위연구대상，기중CSF조92례，정상혈류조92례，소유입선자상규측량신고、요위、체중，계산BMI。분석BMI、요위여CTFC정계수적관계。결과：량조입선자기선자료상당CSF조환자요위위（92.9±12.1）cm，BMI위（30.9±5.8）kg/m2，정상혈류조요위위（80.3±8.7）cm，BMI위（26.2±4.3）kg/m2，CSF조WC화BMI균명현고우정상혈류조，량조비교차이유현저통계학의의，（P＜0.01）；BMI급WC여CSF다인소logistic회귀분석제시， WC＞85cm조환병위험OR급95％CI위1.628（1.425~1.859， P＜0.05）；BMI≥28kg/m2대CSF적환병위험OR급95％CI위3.710（3.148~4.371， P＜0.05）。결론：BMI급WC여CSF상관，BMI급WC증고시관상동맥만혈류적위험인소。
In the present study , we sought to investigate whether waist circumference (WC)levels and body mass index [BMI] are related in patients with isolated CSF compared to normal subjects . Coronary slow flow (CSF) phenomenon is defined as delayed coronary opacification in the absence of obstructive coronary artery disease . Methods:The consecutive patients who underwent coronary angiography(CAG) were identified . Those with normal left ventricular ejection fraction and normal coronary arteries were included in the study (n =184). TIMI frame counts were calculated , and data on comorbidities , and waist circumference , BMI were collected . CSF was defined as corrected TIMI frame count (CTFC)>27 . Results:There were no significant differences in general date between two groups , subjects with CSF were more obese(body mass index[BMI](30 . 9 ± 5 . 8)vs . (26 . 2 ± 4.3)kg/m2, P=0.003) and had high WC levels(93.9±12.1)vs.(80.3±8.7)cm,P=0.04). After adjusting with other variables by logistic regression test , WC(OR:1 . 628 , 95%CI:1 . 425-1 . 859 , P<0 . 05) and BMI (OR:3 . 710 , 95%CI:3 . 148-4 . 371 , P<0 . 05)were proved to be the risk factor of coronary slow flow . Conclusions: CSF is associated with WC and BMI . The WC and BMI maybe one of factors of CSF patients , BMI may be used as an indicator of CSF . Further studies are needed to investigate this hypothesis .