NAFLD
Conditions
Keywords
CAC score, Liver fibrosis, Cardiovascular risk, Metabolic syndrome
Brief summary
This study aims to examine the link between Non-Alcoholic Fatty Liver Disease (NAFLD) and cardiovascular diseases by studying the association between liver fibrosis degree and cardiovascular risk factors. The study would clarify the value and the role of the Coronary calcium score (CAC score) in the screening for coronary disease in this population at high cardiovascular risk.
Detailed description
Hepatic Fibrosis and Cardiovascular Risk are evaluated by non invasive tests
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* NAFLD patients regardless of disease stage of severity (from simple steatosis to cirrhosis) * Patient without known heart disease * Patient agreeing to participate and who has given his non opposition
Exclusion criteria
* Association with another cause of liver disease * Already known coronary artery disease * Pregnancy or breastfeeding in progress
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Coronary calcium score | At inclusion | Score in Agatston IU of coronary atherosclerosis risk;ranging from 0 to 100 : low risk; 100 to 400 : intermediate risk and \> 400 : high risk of coronary atherosclerosis. |
| Shear wave liver elastography | At inclusion | Hepatic elasticity assessed in kPa : \<5 Kpa : normal; 5 to 8 kPa : low to moderate fibrosis ; \> 8 kPa : advanced fibrosis; \>15 kPa : cirrhosis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ARFI Hepatic elasticity | At inclusion | Hepatic elasticity assessed by Acoustic radiation force impulse (ARFI) (in kPa) Hepatic elasticity assessed in kPa : \<5 Kpa : normal; 5 to 8 kPa : low to moderate fibrosis ; \> 8 kPa : advanced fibrosis; \>15 kPa : cirrhosis . |
| Cardiovascular risk | At inclusion | Systemic Coronary Risk Estimation (SCORE) ranging from \<1% very low risk to \>15% very high risk of cardiovascular mortality |
| Coronary heart disease | 3 month | Diagnosis of coronary heart disease |
Countries
France
Contacts
Clinique Pasteur