We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Cardiac Remodeling Patterns in Severe Obesity According to Arterial Hypertension Grade.
- Authors
De Cleva, Roberto; Araujo, Victor Arrais; Buchalla, Carla Cristina Ornelas; De Oliveira Costa, Fabio; Cardoso, Acácio Fernandes; Pajecki, Denis; Santo, Marco Aurelio
- Abstract
Purpose: The purpose of this study is to correlate the left ventricular hypertrophy (LVH) patterns according to severe obesity and arterial hypertension (AHT) grades.Methods: A cross-sectional prospective study was conducted in 379 patients with severe obesity. Obesity was classified according to the BMI in the following: morbidly obese (MO; 40 < BMI < 50 kg/m2) and super obese (SO; BMI > 50 kg/m2). The AHT was classified into classes 1 and 2 according to American Heart Association. The presence of LVH and the pattern of cardiac remodeling were determined by transthoracic echocardiography.Results: LVH was present in 58.6% of patients. Obesity and AHT had additive effects in LVH prevalence. LVH was found in 32.9 and 46.7% of MO with AHT grades 1 and 2, respectively. LVH was diagnosed in 39.1% in SO with AHT grade 1 and in 50% of AHT grade 2. Patients with AHT presented a significantly higher risk of developing LVH (OR 1.97; <italic>p</italic> = 0.003). Hypertension grade was also a determinant variable in the development of LVH. Patients with AHT 2 had 4.31-fold greater risk (<italic>p</italic> < 0.001) when compared to normotensive patients. BMI was only considered an independent risk factor for LVH in patients with BMI greater than 47.17 kg/m2 (OR 1.62; <italic>p</italic> = 0.023).Conclusion: AHT is a stronger predictive factor of LVH than obesity grade.
- Subjects
OVERWEIGHT persons; LEFT ventricular hypertrophy; ARTERIAL diseases; HYPERTENSION; PATIENTS; OBESITY treatment; MEDICAL care
- Publication
Obesity Surgery, 2018, Vol 28, Issue 4, p1047
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-017-2968-z