Association of body mass index and clinical complications of patients with ST-elevation myocardial infarction

Published:March 24, 2020DOI:
      We read the article written by McDonald et al. with great interest and appreciation [
      • McDonald D.
      • Wright A.
      • Schmidt C.
      Complications in STEMI (ST segment elevation myocardial infarction) due to BMI (Body Mass Index).
      ]. Their study showed that young patients with ST-elevation myocardial infarction (STEMI) with low body mass index (BMI) or females with a high BMI appeared to have higher risks for complications and/or death. However, the results of the study should be interpreted in consideration of some aspects as described below.
      To read this article in full you will need to make a payment
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The American Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • McDonald D.
        • Wright A.
        • Schmidt C.
        Complications in STEMI (ST segment elevation myocardial infarction) due to BMI (Body Mass Index).
        Am J Emerg Med. 2020;
        • Jia Y.
        • Li D.
        • Cao Y.
        • Cheng Y.
        • Xiao L.
        • Gao Y.
        • et al.
        Inflammation-based Glasgow Prognostic Score in patients with acute ST-segment elevation myocardial infarction: a prospective cohort study.
        Medicine (Baltimore). 2018; 97e13615
        • Nedungadi T.P.
        • Clegg D.J.
        Sexual dimorphism in body fat distribution and risk for cardiovascular diseases.
        J Cardiovasc Transl Res. 2009; 2: 321-327
        • Rodriguez-Ramos M.A.
        • Arteaga-Guerra D.
        • Guillermo-Segredo M.
        • Simancas-Broche L.
        Body mass index and in-hospital outcomes in patient’s ≥80years with ST elevation myocardial infarction. Results from low income country without coronary intervention.
        Int J Cardiol. 2020;
        • Shiga T.
        • Kohro T.
        • Yamasaki H.
        • Aonuma K.
        • Suzuki A.
        • Ogawa H.
        • et al.
        Body mass index and sudden cardiac death in Japanese patients after acute myocardial infarction: data from the JCAD Study and HIJAMI-II Registry.
        J Am Heart Assoc. 2018; 7
        • Song C.
        • Fu R.
        • Yang J.
        • Xu H.
        • Gao X.
        • Feng L.
        • et al.
        The association between body mass index and in-hospital outcome among patients with acute myocardial infarction-insights from China Acute Myocardial Infarction (CAMI) registry.
        Nutr Metab Cardiovasc Dis. 2019; 29: 808-814
        • Ingremeau D.
        • Grall S.
        • Valliet F.
        • Desprets L.
        • Prunier F.
        • Furber A.
        • et al.
        Prognostic impact of body mass index on in-hospital bleeding complications after ST-segment elevation myocardial infarction.
        World J Cardiol. 2020; 12: 44-54