Correlation of Waist-To-Hip Ratio with Angiographic Severity by Gensini Score in Non-St Elevation Myocardial Infarction

Abstract

Background: Waist-to-hip ratio (WHR) has prognostic significance in acute myocardial infarction. This study aims to determine the correlation between WHR and angiographic severity assessed by the Gensini score in patients with non-ST elevated myocardial infarction (NSTEMI).

Methodology: This descriptive cross-sectional study was conducted in the Cardiology Department of a tertiary care hospital, Lady Reading Hospital, Peshawar. A total of 192 patients were included. Detailed histories and complete physical examinations were performed, and major cardiovascular risk factors such as age, sex, smoking status, diabetes mellitus, and hypertension were recorded. Waist and hip circumferences were measured at the level of the iliac crest and greater trochanter of the femur, respectively, while the patient was in a standing position. The waist-to-hip ratio was calculated based on these measurements.

Results: The mean age of the participants was 49 years ± 6.73. The correlation coefficient (r = 0.317) demonstrated a positive correlation between waist-to-hip ratio and angiographic severity assessed by the Gensini score, with a significant p-value of <0.001.

Conclusion: In patients with non-ST elevation myocardial infarction, there is a positive correlation between waist-to-hip ratio and angiographic severity assessed by the Gensini score. These findings suggest that WHR may serve as a useful prognostic indicator in NSTEMI patients.