ABC | Volume 112, Nº5, May 2019

Letter to the Editor Mesquita & da Cruz Comment on myocardial perfusion study in obese Arq Bras Cardiol. 2019; 112(5):597-599 This is an open-access article distributed under the terms of the Creative Commons Attribution License 1. Dippe Jr T, Leinig C, Cerci RJ, Lafitte AS Jr, Vítola JV. Estudo de perfusão miocárdica emobesos semdoença cardíaca isquêmica conhecida. Arq Bras Cardiol. 2019;112(2):121-8. 2. Hueb W. A cintilografia de perfusão miocárdica com tomografia computadorizada por fóton unico. Ferramenta diagnóstica antecipando a doença. Arq Bras Cardiol 2019;112(2): 129. 3. Gallagher D, Heymsfield SB, Heo M, JebbSA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for Developing guidelines based on body mass index. Am J Clin Nutr. 2000;72 (3): 694-701. 4. Shiwaku K, Kitajima K, Yamane Y. Appropriate BMI for Asian populations. Lancet. 2004 ;363 (9414): 1077. 5. Deurenberg P, Yap M, Wang J, Lin FP, Schmidt G. The impact of body build on the relationship between body mass index and percent body fat. Int J Obes Relat Metab Disord. 1999;23(5):537-42. 6. Hubert HB, Feinleib M, McNamara PM, Castelli WP. The obesity an independent risk factor for cardiovascular disease: a 26-year follow-up of participants intheFraminghamHeartStudy.Circulation.1983;67(5):968-77. 7. Manson JE,ColditzGA,StampferMJ,WillettWC,RosnerB,MonsonRR,etal. A prospective study of obesity and risk of coronary heart disease in women. N Engl J Med 1990;322(13):882-9. 8. World Health Organization. (WHO). Obesity: Preventing and managing the global epidemic. Report of the World Health Organization Consultation. Geneva; 2000. ( WHO Obesity Technical Report Series, No. 284) 9. Hueb W, Bellotti G, de Oliveira SA, Ariê S, Albuquerque CP, Jatene AD, Pileggi F. TheMedicine, Angioplasty or Surgery Study (MASS): a prospective, randomized trial of medical therapy, balloon angioplasty or bypass surgery for single proximal left anterior descending artery stenoses. J Am Coll Cardiol. 1995;26(7):1600-5. 10. Hochman JS, Harmony RS, Bangalore S, O’Brien SM, Alexander KP, Senior R, et al. Baseline Characteristics and risk profiles of participants in the ISCHEMIA Randomized Clinical Trial. JAMA Cardiol . 2019;4(3):273-86. 11. Rozanski A, Gransar H, Hayes SW , Min J, Friedman JD, Thomson LF, et al. Temporal trends in the frequency of inducible myocardial ischemia during cardiac stress testing: 1991 to 2009. J Am Coll Cardiol. 2013;61(10):1054-65. 12. Douglas PS, Hoffmann U, Patel MR, Mank DB, Al-Khalidi HR, Cavanaugh B, et al. for the PROMISE Investigators. Outcomes of anatomical versus functional testing for coronary artery disease. N Engl J Med. 2015;372(14):1291-300. References abnormal myocardial perfusion (odds ratio of 2.45 [1.82-3.31], see page 125 of the manuscript, table 4). 1 There is no “creative statistics” at all. This conclusion was reached after multivariate logistic regression analysis. It is pure statistics. Finally, we would like to thank UFF for the letter sent to the editor of Arquivos Brasileiros de Cardiologia and to Dr. Whady Hueb for his short editorial. The productive discussion and scientific production certainly help to add further value to our admired Brazilian cardiology. Tufi Dippe Junior João Vicente Vítola 599