IMPACT OF BODY MASS INDEX ON LEFT VENTRICULAR MASS
Abstract
Background: Obesity is an independent factor implicated in left ventricular (LV) hypertrophy and increased left ventricular mass. Early detection of increased LV mass in obese patients has prognostic and therapeutic implications. Methods: This case series was carried out in Choudhry Pervaiz Ellahi Institute of Cardiology, Multan from March to August 2011. A total of 100 consecutive patients including male and female referred for transthoracic echocardiography were included in this study. Patient's demographics were obtained using a questionnaire. Anthropometry (BMI) and two-dimensional echocardiography to calculate LV mass. Results: Echocardiograms of 100 patients showing mean age 42.42±6.04 years, with BMI of 28.42±5.52 and LV Mass of 136.05±29.117shown linear correlation between BMI and LV mass. Conclusion: In is concluded from the study thatLV mass increases with increasing BMI.
Keyword: Echocardiography, Body mass index, LV massReferences
Hirayama H, Suganon M, Abe N, Yonemechi H, Makino N. Determination of left ventriculation mass by echocardiography in normotensive diabetic patients. Jpn Circ J 2000;64:921-4.
Hubbard VS. Defining overweight and obesity: what are the issues? Am J Clil Nutr 2000;72:1067-8.
WHO Expert Consultation. Appropriate body mass index for Asian population and its implication for policy and intervention strategies. Lancet 2004;363:157-63.
Okosun IS, Prewitt TE, Cooper RS. Abdominal obesity in the United States: prevalence and attributable risk of hypertension. J Hum Hypert 1999;13:425-30.
Celentano A, Palmieri V, Esposito ND, Pietropaolo I, Crivaro M, Mureddu GF et al. Inappropriate left ventricular mass in normotensive and hypertensive patients. Am J Cardiol 2001;87:361-3.
Lorber R, Gidding SS, Daviglus ML, Colangelo LA, Liu K, Gardin JM. Influence of systolic blood pressure and body mass index on left ventricular structure in healthy African-American and white young adults. J Am Coll Cardiol 2003;41:955-60.
Devereux RB, Alonoso DR, Lutas EM, Gottlieb GJ, Combo E, Sachs I, et al. Echocardiographic assessment of left ventricular hypertrophy. Am J Cardiol 1986;57:450-8.
Scott D. Solomon D, Bulwer, Janardhanan R. Echocardiographic assessment of left ventricular Systolic function. In:Scott D, editor. Essential Echocardiography. Totowa, N.J: Humana press; 2007.101-2.
Hashemi M, Sartaj R. Left ventricular mass in diabetic patients. J Res Med Sci 2004;9(4):182-5.
Brian P. Griffin, Eric J. Nonlipid Cardiovascular Risk Factors. In: Grasso AW, editor. Manual of Cardiovascular medicine. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2009.p. 589-90.
Badeer HS. Biological significance of cardiac hypertrophy. Am J Cardiol 1964;14:133.
Sasayama S, Ross J Jr, Franklin D, Bloor CM, Bishop S, Dilley RB. Adaptations of the left ventricle to chronic pressure overload. Circ Res 1976;38:172-8.
Linzbach AJ. Hypertrophy, hyperplasia and structural dilatation of the human heart. Adv Cardiol 1976;18:1ˆ’13.
Kannel WB, Gordon T, Castelli WP, Margolis JR. Electrocardiographic left ventricular hypertrophy and risk coronary heart disease. The Framingham Study. Ann Intern Med 1970;72:813ˆ’22.
Reichek N, Devereux RB. Left ventricular hypertrophy: relationship of anatomic echocardiographic and electrocardio-graphic findings. Circulation 1981;63:1391ˆ’8.
Rackley CE, Dodge HT, Cable YD Jr, Hay RE. A method for determining left ventricular mass in man. Circulation 1964;24:666-71.
Kathrotia RG, Paralikar SJ Rao PV Oommen ER. Impact of different grades of body mass index on left ventricular structure and function. Indian J Physiol Pharmacol 2010;54(2):149-56.
Rodrigues SL, Angelo LC, Pereira AC, Krieger JE, Mill JG. Determinants of left ventricular mass and presence of metabolic risk factors in normotensive individuals. Int J Cardiol 2009;135:323-30.
Sivanandam S, Sinaiko AR, Jacobs DR Jr, Steffen L, Moran A, Steinberger J. Relation of increase in adiposity to increase in left ventricular mass from childhood to young adulthood. Am J Cardiol 2006;98:411-5.
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