Neck-to-Waist Ratio Identifies Chronic Hypertensive Phenotype and Occlusive Myocardial Infarction in Patients Presenting With Acute Coronary Syndrome

aim of this study was to evaluate the relationship between multiple conventional and novel anthropometric measurements and hypertension in patients presenting to the ED with ACS and whether anthropometric indices differ according to admission BP status and evaluated the relationship between regional adiposity-related anthropometric phenotypes and cardiovascular stress response in ACS presentations. Rather than representing a general population-based study, this study evaluates the association between ACS and elevated admission BP in a population already characterized by a substantial metabolic disease burden.

Inclusion Criteria: * Patients presenting to the emergency department with chest pain or anginal equivalents, diagnosed with ACS, admitted to CICU for coronary angiography * aged over 18 years Exclusion Criteria: * Patients with anatomical abnormalities in the regions where anthropometric measurements were to be performed (n=11) * Patients with endocrinological disorders causing anatomical abnormalities of the neck, waist, or hip circumference (n=3) * Patients with neck tumors (n=1) * ACS patients who did not undergo coronary angiography(n=6) * Etiologies causing secondary troponin elevation (e.g., pulmonary embolism, aortic dissection, hypoxia-related pathologies, sepsis, and anemia) (n=51) * Mean arterial pressure \< 65 mmHg (n=9) * Patients unable to stand upright (n=18) * Patients with ascites (n=1)