Cited by 102Cardiovascular Function and Risk FactorsCardiovascular Disease and AdiposityDiabetes, Cardiovascular Risks, and Lipoproteins

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Obesity and left ventricular diastolic dysfunction

Berkalp, Berkten, Cesur, Vedia, Corapcioglu, Demet, Erol, Cetin, Baskal, Nilgun·1995·International Journal of Cardiology

DOI 10.1016/0167-5273(95)02431-u

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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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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)
DOI: 10.1016/0167-5273(95)02431-u
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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Obesity and left ventricular diastolic dysfunction

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