CORRELATION BETWEEN HBA1C LEVEL AND EPICARDIAL FAT THICKNESS IN ACUTE CORONARY SYNDROME PATIENT

Background : Epicardial fat thickness and HBA1C level are usefull independent indicator for metabolic syndrome and type 2 diabetus mellitus respectively10,9 .studies on the correlation between HBA1C level and epicardial fat thickness in coronary artery disease are limited .Hence we aim to evaluate the correlation of HBA1C and epicardial fat thickness in acute coronary syndrome. Objective : The Target of this work was to investigate correlation link between HBA1C and epicardial fat thickness in acute coronary syndrome. Methodology : 123 patient of coronary artery syndrome .Electrocardiogram (ECG), Epicardial fat pad thickness was measured using transthoracic echocardiogram and glycosylated haemogloblin (HBA1C),fasting blood glucose (FBG) and fasting total cholesterol were documented . waist circumference (WC) ,Hip circumference (HC) were measured ,And Body mass index (BMI) and waist hip ratio (WHR)were calculated . Results : Total of 123 patient who fulfilled the criteria were taken into this studies. # - as these are normally distributed attributes, hence Pearsons r value has been used interpret correlation. All other attributes have used Spearmans correlation, the correlation between HBA1C level and epicardial fat thickness spearmans correlation r correlation analysis was performed .as shown in table 1 , (r value 0.402) with p value <0,001 shows strong relationship Conclusion : In acute coronary syndrome , HBA1C level were high with increasing epicardial fat thickness .This suggestive of epicardial thickness moderate correlation between HBA1C level.