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- Title
Cardiovascular and Electrocardiographic findings in Obese individuals at rest and using Exercise Stress Test.
- Authors
Siddiqui, Mohammed Suhel; Jain, Nishta; Kumar, Dharmendra; Diwan, Pavan
- Abstract
Introduction: Obesity is a common nutritional disorder and it is associated with increased mortality and predisposes to the development of various diseases. The acceptable BMI range is 20-25 Obesity is taken to start at a BMI of 30 and morbid obesity at and above 40. Purpose: The purpose of this study is to see the cardiovascular findings, ECG changes and effort tolerance in obese individuals at rest and during TMT stress testing. Material and Methods: The present cross sectional study included a total of 50 obese patients. A detailed history, clinical examination, requisite investigations, physical indices of built, nutrition and BMI are calculated and based upon BMI there grading of Obesity decided. In all studied patients TMT test done and interpretations of ECG, hemodynamic parameters, effort tolerance and fitness response of Obese individuals in exercise stress test documented. Results: BMI data of studied patients showed 96 % patient have class 1 and 2 obesity while 4% patients had morbid obesity. This study also revealed various risk factors like Dyslipidemia, tobacco use, Diabetes Mellitus, alcohol consumption, family history of CAD etc. Commonly noticed abnormal cardiovascular findings in obese individuals at rest are Bradycardia, Tachycardia, Functional systolic murmurs and during treadmill stress testing (TMT) identified are Heart rate variation and fluctuation in Blood Pressure and appearance of new systolic murmur also heard. ECG changes showed significant ST depression in about 18% of patients and T wave abnormalities are seen in 5% of studied patients. Exercise related Hypotensive response are more commonly noticed in patients who have history of Diabetes mellitus, Smoking, Alcoholism, Dyslipidemia, old coronary events and Left ventricular hypertrophy in resting ECG. Conclusion: There is strong evidence that IHD is common in obese individuals. The effort tolerance was found to be very poor in 20% of obese patients. Reduction of weight and control of risk factors like diabetes, cholesterol, alcohol and smoking may contribute to lower the incidence of cardiovascular diseases.
- Subjects
EXERCISE tests; TREADMILL exercise tests; LEFT ventricular hypertrophy; MORBID obesity; OBESITY; COMPULSIVE eating
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2023, Vol 14, Issue 12, p686
- ISSN
0975-3583
- Publication type
Article