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August 1, 2023Diabetes Metabolic Syndrome and ObesityOpen Access

High non-invasive liver fibrosis scores (FIB-4 and NFS) were significantly associated with greater coronary artery disease severity in patients with MAFLD (P<0.001).

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Why the study?

Although liver fibrosis scores are linked to cardiovascular disease in NAFLD, their relationship with CAD severity in patients with MAFLD remained to be investigated.

Are non-invasive liver fibrosis scores associated with coronary artery disease severity in patients with metabolic dysfunction-associated fatty liver disease?

Population

1346 patients with MAFLD

Comparison

CAD (≥50% stenosis) vs non-obstructive (1-49%) vs normal coronary arteries on CCTA

Design

Single-center observational study

Key result

High non-invasive liver fibrosis scores (FIB-4 and NFS) were significantly associated with greater coronary artery disease severity in patients with MAFLD (P<0.001).

Authors

CLChuan LuYCYan ChenYZYue Zhang

Discussion

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Member takes

Overview

High FIB-4/NFS scores associated with CAD severity in MAFLD; hypothesis-generating and should not yet change practice.

Study Design

Type

Cross-Sectional (n=1,346)

Multicenter

No

Structured PICO

Are non-invasive liver fibrosis scores associated with coronary artery disease severity in patients with metabolic dysfunction-associated fatty liver disease?

P
Population
1,346 patients with metabolic dysfunction-associated fatty liver disease evaluated for coronary artery disease severity using coronary computed tomography angiography.
E
Exposure
Liver fibrosis scores (FIB-4, NFS, APRI)
O
Outcome
Coronary artery disease (CAD) severity assessed by coronary computed tomography angiography (CCTA)surrogate

Main Result

p-value: p=<0.001

Non-invasive liver fibrosis scores (FIB-4 and NFS) are independently associated with CAD severity and CAC scores in patients with MAFLD, suggesting they may help identify patients who would benefit from CAD screening.

Cite This Study

Lu et al. (2023) conducted a cross-sectional in Metabolic dysfunction-associated fatty liver disease (MAFLD) (n=1,346). High liver fibrosis scores (FIB-4 and NFS) vs. Low liver fibrosis scores was evaluated on Coronary artery disease (CAD) severity (≥50% stenosis) (p=<0.001). High non-invasive liver fibrosis scores (FIB-4 and NFS) were significantly associated with greater coronary artery disease severity in patients with MAFLD (P<0.001).

synapsesocial.com/papers/6a74a64a8d2049c8dd0331fehttps://doi.org/10.2147/dmso.s426102
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Also Consider

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

  1. 1The correlation between liver fibrosis and the 10‐year estimated risk of cardiovascular disease in adults with metabolic‐associated fatty liver disease: A cross‐sectional study in Vietnam2024 · 3 citations
  2. 2Association of coronary artery calcification with liver fibrosis in <scp>Japanese</scp> patients with non‐alcoholic fatty liver disease2016 · 33 citations
  3. 3Echocardiographic Abnormalities and Carotid Artery Atherosclerosis in Metabolic Associated Fatty Liver Disease Patients2024
  4. 4The Uncovering of the Hidden Connection Between MAFLD and Cardiovascular Risk2023
  5. 5Association of metabolic dysfunction–associated fatty liver disease with coronary CT angiography-derived plaque characteristics and cardiovascular events2025