Obesity and left ventricular diastolic dysfunction
Abstract
To assess the influence of obesity on left ventricular function, 20 obese women (mean body mass index (BMI) 33.8 +/- 3.1 kg/m2 and mean age 31.1 +/- 2.4 years) without evidence of heart disease were evaluated by echocardiography. Obese subjects had greater left ventricular mass index (103 +/- 22 g/m2, 76 +/- 18 g/m2; P < 0.0001) and augmented fractional shortening (39 +/- 2.6%, 36 +/- 0.1%; P < 0.0001) than normals. Isovolumic relaxation time was prolonged in the obese group (92 +/- 11 ms) as compared with the control group (76 +/- 11 ms; P < 0.0001). The ratio of peak early and atrial filling velocities was significantly lower (1.2 +/- 0.4, 1.9 +/- 0.6; P < 0.0001) and atrial contribution was higher (39 +/- 9, 25 +/- 5; P < 0.0001) in obese subjects than in normals. Shortened deceleration time was measured in obese subjects (142 +/- 30, 179 +/- 20 ms; P < 0.0001). In conclusion, obesity causes relaxation and early filling abnormalities and diastolic filling is compensated by augmented atrial contribution. Diastolic dysfunction is an early indicator of cardiac involvement in obesity.
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Many published studies have concluded that obesity is independently associated with LV hypertrophy.
“Many published studies have concluded that obesity is independently associated with LV hypertrophy (22, 28, 63, 72, 116, 235, 242, 266, 279, 284, 377).”
From Cardiac remodeling in obesity (2008) · cites this paper as [28]
LV ejection fraction is normal or even supranormal in the majority of obese subjects, even those with severe obesity.
“More recently, however, several studies have found that LV ejection fraction is normal or even supranormal in the majority of obese subjects, even those with severe obesity (22, 28, 155, 191, 242, 274, 279, 375, 377).”
From Cardiac remodeling in obesity (2008) · cites this paper as [28]
Late diastolic (A-wave) velocities have been reported to be increased or unchanged in obese subjects.
“Lastly, late diastolic (A-wave) velocities have been reported to be increased (28, 155, 242) or unchanged (266, 274, 279, 314).”
From Cardiac remodeling in obesity (2008) · cites this paper as [28]
Prolongation of the isovolumic relaxation time is probably the most consistent diastolic abnormality seen in obesity.
“Prolongation of the isovolumic relaxation time is probably the most consistent diastolic abnormality seen in obesity (28, 242, 375).”
From Cardiac remodeling in obesity (2008) · cites this paper as [28]
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INFLUÊNCIA DA OXIDAÇÃO DE GLICOSE SOBRE A FUNÇÃO MIOCÁRDICA DE RATOS OBESOS
Filho, J. D. M. (2010)
Insuficiencia cardíaca: fisiopatología y consecuencias sobre el manejo anestésico
Corre, F. L., & Marty, J. (2016) · EMC - Anestesia-Reanimación · doi:10.1016/s1280-4703(16)77454-8
Insufficienza cardiaca: fisiopatologia e conseguenze sulla gestione anestesiologica
Corre, F. L., & Marty, J. (2016) · EMC - Anestesia-Rianimazione · doi:10.1016/s1283-0771(16)77524-4
Medical Considerations in Spinal Cord Stimulation
Shah, B. J., Hayek, S. M., & Khalil, A.-A. A. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-2216-1.00003-3
Çocukluk çağı obezitesinin kardiyak yapı ve fonksiyonlara etkisi
Atík, F., Şanlı, C., Ergür, A. T., & Alpcan, A. (2016) · Turkish Journal of Clinics and Laboratory · doi:10.18663/tjcl.297946 · Cited by 1 · see citing works
Insuffisance cardiaque : physiopathologie et conséquences sur la prise en charge anesthésique
Corre, F. L., & Marty, J. (2015)
Parra‐Dávila, E., & Otero, C. H. (2017) · Springer eBooks · doi:10.1007/978-3-319-43256-4_10
Influência do tempo de exposição à obesidade sobre a função cardíaca de ratos
Leopoldo, A. S. (2010) · doi:10.5016/dt000612860
Postoperative Care After Bariatric Surgery
Pieracci, F. M., Pomp, A., & Barie, P. S. (2016) · Springer eBooks · doi:10.1007/978-3-319-19668-8_50
Influência da oxidação de glicose sobre a função miocárdica de ratos obesos
de Campos, D. H. S. (2010) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
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Patel, D., Avesani, M., Salvo, G. D., & Savvidou, M. D. (2023) · doi:10.22541/au.167396582.23745052/v1
Conséquences péri-opératoires de ľinsuffisance cardiaque
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- Authors
- Berkalp, B., Cesur, V., Corapcioglu, D., Erol, C., & Baskal, N.
- Affiliations
- Ankara University (TR)
- Corresponding author
- Berkalp, Berkten
- Venue
- International Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 1995-11
- Volume
- 52
- Issue
- 1
- Pages
- 23-26
- ISSN
- 0167-5273 (ISSN-L)
- OpenAlex
- W2128710157
- Cited by
- 102
- References
- 13
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 2 · 2018: 5 · 2017: 5 · 2016: 10 · 2015: 4 · 2014: 5 · 2013: 7 · 2012: 6
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- obesity, left ventricular diastolic dysfunction, left ventricular mass, isovolumic relaxation time, diastolic filling, early diastolic filling velocity, women
- MeSH terms
- Adult, Diastole, Female, Hemodynamics, Humans, Middle Aged, Obesity, Systole, Body Mass Index, Case-Control Studies, Hypertrophy, Left Ventricular, Ventricular Dysfunction, Left, Echocardiography, Doppler, Pulsed
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