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February 8, 2016Hepatology Research

In NAFLD patients, age ≥66 years and FIB-4 index ≥2.09 were significant risk factors for high CAC score, and the cumulative proportion of PCI was significantly higher in those with FIB-4 ≥2.09.

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Why the study?

Is liver fibrosis (assessed by FIB-4 index) associated with coronary artery calcification and future PCI in Japanese patients with NAFLD?

Population

366 Japanese patients with chest pain or electrocardiographic abnormalities who underwent coronary CT…

Design

Cohort

Follow-up

Observation period until August 2014

Authors

HIHiroshi IshibaAichi Medical UniversityYSYoshio SumidaInternational University of Health and WelfareSKSeita KataokaKyoto Prefectural University of Medicine

Discussion

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Overview

FIB-4 ≥2.09 was associated with higher CAC and PCI rates in NAFLD; hypothesis-generating and requires prospective validation before clinical use.

Structured PICO

Is liver fibrosis (assessed by FIB-4 index) associated with coronary artery calcification and future PCI in Japanese patients with NAFLD?

P
Population
366 Japanese patients with chest pain or electrocardiographic abnormalities who underwent coronary CT, excluding those with known liver disorders or history of emergency coronary angioplasty. 94 patients (25.7%) had NAFLD.
O
Outcome
Coronary artery calcification (CAC) score of 100 AU or more (categorized as high-risk for cardiovascular events)surrogate

The FIB-4 index, a marker of liver fibrosis, is associated with coronary artery calcification and future need for PCI in Japanese patients with NAFLD.

Cite This Study

Ishiba et al. (2016) studied this question.

synapsesocial.com/papers/6a2296e4b69638e6610deeddhttps://doi.org/10.1111/hepr.12665
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Association between noninvasive assessment of liver fibrosis and coronary artery calcification progression in patients with nonalcoholic fatty liver disease2020 · 37 citations
  2. 2Liver Fibrosis Scores and Coronary Artery Disease: Novel Findings in Patients with Metabolic Dysfunction-Associated Fatty Liver Disease2023 · 20 citations
  3. 3Association of non-alcoholic fatty liver diseasewith coronary artery calcification progression:a systematic review and meta-analysis2021 · 27 citations
  4. 4Association between Non-alcoholic Fatty Liver Disease and the Severity of Coronary Artery Stenosis in Eastern Chinese Population2022 · 3 citations
  5. 5Association between the Severity of Nonalcoholic Fatty Liver Disease and the Risk of Coronary Artery Calcification2021 · 11 citations