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Noninvasive markers of hepatic fibrosis and their clinical application in coronary artery disease.
José A. Velarde-Ruiz Velasco1, José R. Barrientos-Avalos2, Jorge A. Martínez-Ortiz3, Francisco A. Félix-Téllez1, Neisser Morales-Victorino4, Claudia Vásquez-Veloza5, Diana K. Tapia-Calderon1
1 Department of Gastroenterology, Hospital Civil de Guadalajara, Fray Antonio Alcalde
2 Department of Endocrinology, Hospital Civil de Guadalajara, Fray Antonio Alcalde
3 Department of Internal medicine, Hospital Regional Lic. Adolfo López Mateos, ISSSTE
4 Department of Cardiology, Hospital Regional Lic. Adolfo López Mateos, ISSSTE
5 Department of Radiology, Hospital Regional Lic. Adolfo López Mateos, ISSSTE
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para0005" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Ethical statement</span></p><p id="para0006" class="elsevierStylePara elsevierViewall">The protocol was registered and approved by the Ethics Committee&#46; The identity of the patients is protected&#46; Consentment was obtained&#46;</p><p id="para0007" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Declaration of interests</span></p><p id="para0008" class="elsevierStylePara elsevierViewall">None</p><p id="para0009" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Funding</span></p><p id="para0010" class="elsevierStylePara elsevierViewall">None</p></span>"
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        "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0001">Introduction and Objectives</span><p id="spara001" class="elsevierStyleSimplePara elsevierViewall">Coronary artery disease &#40;CAD&#41; is a leading cause of morbidity and mortality worldwide&#46; Reliable knowledge of the prevalence of occult CAD&#44; particularly anatomically confirmed CAD is limited and cardiovascular risk &#40;CVR&#41; models only predict the risk of an acute coronary event within a set period&#46; It has been described that a FIB-4 score is associated with a higher CVR&#46; Determine what is the utility of noninvasive markers of liver fibrosis in CAD&#46;</p></span> <span id="abss0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0002">Materials and Patients</span><p id="spara002" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional study was conducted in two tertiary centers in central and western Mexico from March 2019 to April 2023&#46; Patients who required percutaneous coronary angiography were studied and demographic data and coronary angiographic were recorded&#46; Noninvasive fibrosis indexes were calculated&#46; Continuous variables were subjected to a distribution analysis and equality of variances to subsequently perform a mean comparison analysis with U-Mann-Whitney test between patients with monovascular&#44; bivascular and trivascular involvement&#46; A correlation analysis was also performed between the invasive markers and the Syntax index&#46;</p></span> <span id="abss0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Results</span><p id="spara003" class="elsevierStyleSimplePara elsevierViewall">A total of 168 patients were included with a mean age of 66 &#177; 12 years with a predominance of male sex with 75&#46;6&#37; &#40;n&#61; 127&#41;&#46; Angiographic findings included 37&#46;5&#37;&#44; monovascular&#44; 32&#46;7&#37;&#44; bivascular and 29&#46;8&#37; trivascular involvement&#46; Comparison of means of noninvasive markers of fibrosis demonstrated a significant difference in HFS between patients with monovascular &#40;0&#46;17 &#177; 0&#46;18&#41;&#44; bivascular &#40;0&#46;27 &#177; 0&#46;18&#41; and trivascular &#40;0&#46;30 &#177; 0&#46;25&#41; coronary artery disease&#44; p&#61;&#60; 0&#46;001&#46; A correlation was also demonstrated between non-invasive markers and Syntax score&#58; FIB-4 &#40;r&#61;&#58; 820&#44; p&#61;&#60;0&#46;001&#41;&#44; APRI &#40;r&#61;&#58; 766&#44; p&#61;&#60;0&#46;001&#41;&#44; HFS &#40;r&#61; 869&#44; p&#61;&#60;0&#46;001&#41;&#44; &#40;r&#61; 820&#44; p&#61;&#60;0&#46;001&#41;&#44; NFS &#40;r&#61; 807 p&#61;&#60;0&#46;001&#41;</p></span> <span id="abss0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Conclusions</span><p id="spara004" class="elsevierStyleSimplePara elsevierViewall">The score of noninvasive tools to assess liver fibrosis correlates positively with the complexity of CAD and could be considered as noninvasive tools to be used in the assessment CVR&#46;</p></span>"
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Article information
ISSN: 16652681
Original language: English
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