BACKGROUND: The impact of fat distribution, muscle mass, and muscle strength on no-reflow and severity of @entity453 in @entity1 with @entity583 ( @entity583 ) remains unclear. OBJECTIVE: To investigate association between muscle strength and fat and muscle mass and severity of @entity453 . METHODS: We included 218 @entity1 with @entity583 who had undergone primary percutaneous coronary intervention. We evaluated the no-reflow phenomenon in @entity1188 and calculated Gensini scores from initial angiograms as indicative of @entity453 severity. The @entity1 were divided into 2 groups as @entity1 with no-reflow and with thrombolysis in @entity583 grade 3 flow and @entity1 with low (<55) Gensini and with high (>= 55) Gensini. @entity1 ' total fat, muscle mass, visceral fat mass, and muscle strength were measured via body composition analyzer and handgrip dynamometer. RESULTS: High Gensini @entity1 had a greater body mass index (BMI) and lower handgrip strength and more visceral fat (P = .05, P = .017, and P < .001, respectively). The @entity1 with no-reflow had significantly lower handgrip strength and more visceral fat (both, P < .001). In multivariate regression analysis, visceral fat and handgrip strength were associated with high no-reflow rate and high Gensini scores in @entity1 with @entity583 (P = .001, P = .014, P = .022, and P = .010; respectively). CONCLUSION: Increased visceral fat and lower handgrip strength may be related to increased no-reflow rate and coronary plaque burden in @entity583 . Visceral fat and muscle strength may be better prognostic markers than weight, BMI, total fat, and muscle mass in @entity453 .

Lower Muscle Strength and Increased Visceral Fat Associated With No-reflow and High Gensini Score in XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity453 :: ('MESH:D003324', 'Disease') :: ['coronary artery disease', 'coronary atherosclerosis'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarct-related artery'] @entity583 :: ('MESH:D009203', 'Disease') :: ['STEMI', 'myocardial infarction', 'ST-segment elevation myocardial infarction']
@entity583 :: (MESH:D009203,Disease) :: ['STEMI']
