Correlating Coronary Artery Disease and Non-Alcoholic Fatty Liver among a Sample of the Egyptian Population, Using Multislice CT, MOHAMMED A. SALEM, AHMAD A. ASKLANY, SHERIF F. ABD EL-RAHMAN and HISHAM B. AL-SAYED
Abstract
Purpose: Tо evaluate the relationship between Nonalcoholic Fatty Liver Disease (NAFLD) and Coronary Artery Disease (CAD).
Material and Methods: Thirty patients with low to intermediate risk for CAD having NAFLD were included and thirty other individuals of matched age, sex and risk factors without NAFLD were served as controls. Fatty liver was diagnosed using non contrast CT study when the calculated attenuation value of the liver is less than that of the spleen by 10 HU. The coronary arteries were assessed using CT angiography, significant CAD was defined as a stenosis of more than 50% in at least one major coronary artery. Statistical analysis was performed to study associations.
Results: Significant correlation between the NAFLD and the presence of coronary artery disease (this included the significant and non significant lesions), yet there was no significant correlation between presence of NAFLD and the presence of significantly stenotic lesions.
Conclusion: In Egyptian population NAFLD may be considered as a predictor for coronary atherosclerosis yet not, a predictor for significant CAD.