Journal
ULTRASOUND IN MEDICINE AND BIOLOGY
Volume 36, Issue 11, Pages 1769-1775Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.ultrasmedbio.2010.08.004
Keywords
Abdominal visceral fat; Ultrasonography; Coronary artery disease
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Abdominal visceral fat plays a critical role in the pathogenesis of metabolic syndrome, which is a risk factor for coronary artery disease (CAD). Ultrasonography (US) distinctively quantifies visceral fat and subcutaneous fat. We measured the maximum preperitoneal visceral fat thickness (Vmax) and the minimum subcutaneous fat thickness (Smin) by US in 185 patients who underwent coronary angiography. Although the 144 patients with CAD had larger Vmax (8.8 +/- 3.6 vs. 6.4 +/- 2.8 mm; p < 0.001) than those without, there was no difference in Smin. Vmax of 6.9 mm or higher was an independent predictor of CAD (odds ratio, 3.710, p = 0.008) by multiple logistic regression analysis. Vmax significantly correlated with the number of diseased vessels. Assessment of abdominal visceral fat by US gives us incremental information beyond conventional risk factors for predicting CAD in routine clinical practice. (E-mail: matsumur@kochi-u.ac.jp) (C) 2010 World Federation for Ultrasound in Medicine & Biology.
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