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Left Ventricular Hypertrophy Evaluation in Obese Hypertensive Patients: Effect of Left Ventricular Mass Index Criteria

descriptionPublicationkeyboard_double_arrow_right Article 01 Apr 2002Publisher:FapUNIFESP (SciELO)Journal:Arquivos Brasileiros de Cardiologia, volume 78 (eissn: 0066-782X,

Authors: Rosa, Eduardo Cantoni; Moysés, Valdir Ambrósio; Sesso, Ricardo Cintra; Plavnik, Frida Liane; Ribeiro, Fernando Flexa; Kohlmann, Nárcia E. B.; Ribeiro, Artur Beltrame; +2 Authors

doi: 10.1590/s0066-782x2002000400001

pmid: 12011950

Left Ventricular Hypertrophy Evaluation in Obese Hypertensive Patients: Effect of Left Ventricular Mass Index Criteria

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Abstract

To evaluate left ventricular mass (LVM) index in hypertensive and normotensive obese individuals.Using M mode echocardiography, 544 essential hypertensive and 106 normotensive patients were evaluated, and LVM was indexed for body surface area (LVM/BSA) and for height2 (LVM/h2). The 2 indexes were then compared in both populations, in subgroups stratified according to body mass index (BMI): /= 30kg/m2.The BSA index does not allow identification of significant differences between BMI subgroups. Indexing by height2 provides significantly increased values for high BMI subgroups in normotensive and hypertensive populations.Left ventricular hypertrophy (LVH) has been underestimated in the obese with the use of LVM/BSA because this index considers obesity as a physiological variable. Indexing by height2 allows differences between BMI subgroups to become apparent and seems to be more appropriate for detecting LVH in obese populations.

Related Organizations

Federal University of São Paulo
Brazil
Universidade de São Paulo
Brazil

Keywords

Adult, Male, obesity, Adolescent, Body Surface Area, Heart Ventricles, Body Mass Index, Prevalence, Diseases of the circulatory (Cardiovascular) system, Humans, Obesity, Aged, Ultrasonography, Aged, 80 and over, essential hypertension, Middle Aged, left ventricular hypertrophy, Cross-Sectional Studies, RC666-701, Hypertension, Female, Hypertrophy, Left Ventricular, left ventricular mass index

11 Research products, page 1 of 2

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