The Relationship Between Obesity Paradox and Inflammation Markers in STEMI Short: Obesity Paradox in STEMI

Burak Öztürkeri1, Anıl Avcı2, Emrah Bayam2, Selahattin Akyol2, Ramazan Kargın2

1Department of Cardiology, University of Health Sciences, İstanbul Ümraniye Training and Research Hospital, İstanbul, Türkiye
2Department of Cardiology, University of Health Sciences, Kartal Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye

Keywords: C-reactive protein; obesity paradox; ST elevation myocardial infarction.

Abstract

Objectives: Inflammation plays a very important role in the pathogenesis of coronary artery disease (CAD) and its prognosis. Especially; C-reactive protein (CRP) is associated with poor prognosis in patients with CAD. In this study, the relationship between CRP levels and body mass ındex (BMI) was investigated in patients who underwent primary coronary intervention (PCI) due to ST elevation myocardial infarction (STEMI).

Methods: Between January 2015 and February 2016, 132 patients who underwent PCI due to acute STEMI were included in the retrospective study. Patients were classified into two groups: (Group 1: BMI <25 kg/m2 n=27 and BMI >35 kg/m2 n=9, total: 36 patients; Group 2: 25 2 n=58 and 30 2 n=38, total 96 patients). Class 2, 3 obese patients and normal weight patients constituted Group 1 whereas pre-obese and Class 1 obese patients were included in Group 2. The patients are grouped in this way because the prognosis of the first group is worse in obesity paradox studies.

Results: There was no statistically significant difference between the two groups regarding demographic features, risk factors and left ventricular ejection fraction. CRP was significantly higher in group 1 (p=0.004). Among the inflammation markers, only CRP was significantly higher in Group 1.

Conclusion: CRP was found to be significantly lower in STEMI patients with 25 >BMI <35. Whereas, it was significantly higher in STEMI patients with 25 35. One of the reasons for the better prognosis of mildly overweight and Class 1 obese patients with STEMI diagnosis may be the low values of CRP which has many effects on atherosclerotic plaque formation.

Cite This Article: Öztürkeri B, Avcı A, Bayam E, Akyol S, Kargın R. The Relationship Between Obesity Paradox and Inflammation Markers in STEMI Short: Obesity Paradox in STEMI. Koşuyolu Heart J 2025;28(1):13–17

Ethics Committee Approval

The study was approved by the Kartal Koşuyolu High Specialization Training and Research Hospital Ethics Committee (no: 2024/08/785, date: 16/04/2024).

Peer Review

Externally peer-reviewed.

Author Contributions

Concept – R.K.; Design – B.Ö.; Supervision – A.A.; Funding – B.Ö.; Materials – B.Ö.; Data collection and/or processing – B.Ö.; Data analysis and/or interpretation – A.A., S.A.; Literature search – B.Ö., S.A.; Writing – B.Ö., E.B.; Critical review – E.B., R.K.

Conflict of Interest

All authors declared no conflict of interest.

Use for AI for Writing Assistance

No AI technologies utilized.

Financial Disclosure

The authors declared that this study received no financial support.