PMID- 28150282
OWN - NLM
STAT- MEDLINE
DCOM- 20170710
LR  - 20170713
IS  - 1897-4279 (Electronic)
IS  - 0022-9032 (Linking)
VI  - 75
IP  - 4
DP  - 2017
TI  - The relationship of socioeconomic status with coronary artery calcification and 
      pericardial fat.
PG  - 368-375
LID - 10.5603/KP.a2016.0187 [doi]
AB  - BACKGROUND: Little data currently exist supporting the correlation of 
      socioeconomic status (SES) to markers of subclinical coronary atherosclerosis. 
      AIM: The main aim was to investigate the relationship of SES measured by economic 
      status and educational level with coronary artery calcification (CAC) and 
      pericardial fat volume (PFV) assessed by multi-detector computed tomography 
      (MDCT). METHODS: A total of 220 consecutive patients with suspected coronary 
      artery disease, who underwent 64-slice MDCT angiography for assessment of 
      coronary atherosclerosis, were recruited between January 2014 and March 2015. Of 
      these, 186 patients were enrolled in this cross sectional study. RESULTS: Low 
      economic status patients showed higher PFV values; median (inter-quartile range 
      [IQR] was 94 [50-140] cm3, p = 0.00001 and r = 0.37, compared to patients with 
      high economic status, and this association persisted even after multiple logistic 
      regression to conventional cardiac risk factors (p = 0.004, CI 7.3-30.4), while 
      patients with low economic status reported a higher calcium score (but 
      statistically non significant) (p = 0.12) compared to high economic status 
      patients. Pa-tients with no formal education showed higher PFV (median [IQR] was 
      93 [48-140] cm3, p = 0.01) compared to patients with bachelor's degree (median 
      [IQR] was 56 [28-92] cm3), but this association was attenuated after further 
      adjustment for conventional cardiac risk factors (p = 0.1, CI -9.52-10.88), while 
      CAC showed no significant correlation with educational level (p = 0.2, r = 
      0.117). CONCLUSIONS: Socioeconomic status, particularly economic status measure, 
      reported a significant inverse relationship with PFV independent of conventional 
      cardiac risk factors.
FAU - Nafakhi, Hussein
AU  - Nafakhi H
AD  - University of Kufa, Najaf, Iraq. husseinaf.alnaffakh@uokufa.edu.iq.
FAU - Almosawi, Abdulameer
AU  - Almosawi A
FAU - Alnafakh, Hasan
AU  - Alnafakh H
FAU - Mousa, Widad
AU  - Mousa W
LA  - eng
PT  - Journal Article
DEP - 20170202
PL  - Poland
TA  - Kardiol Pol
JT  - Kardiologia polska
JID - 0376352
SB  - IM
MH  - *Adipose Tissue
MH  - Adult
MH  - Aged
MH  - Coronary Vessels/*pathology
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Iraq/epidemiology
MH  - Male
MH  - Middle Aged
MH  - *Pericardium
MH  - Risk Factors
MH  - *Social Class
MH  - Vascular Calcification/epidemiology/*pathology
OTO - NOTNLM
OT  - atherosclerosis
OT  - calcification
OT  - coronary artery
OT  - multi-detector computed tomography
OT  - pericardial fat
OT  - socioeconomic status
EDAT- 2017/02/06 06:00
MHDA- 2017/07/14 06:00
CRDT- 2017/02/03 06:00
PHST- 2016/07/02 00:00 [received]
PHST- 2016/11/15 00:00 [accepted]
PHST- 2016/11/15 00:00 [revised]
PHST- 2017/02/06 06:00 [pubmed]
PHST- 2017/07/14 06:00 [medline]
PHST- 2017/02/03 06:00 [entrez]
AID - VM/OJS/KP/10726 [pii]
AID - 10.5603/KP.a2016.0187 [doi]
PST - ppublish
SO  - Kardiol Pol. 2017;75(4):368-375. doi: 10.5603/KP.a2016.0187. Epub 2017 Feb 2.