ABSTRACT
INTRODUCTION :–Obesity is a independent risk factor for DM, HTN, OSA, stroke, MI, Arrhythmias etc.Epicardial Adipose Tissue (EAT)is a lipid–storing depot (an endocrine organ) secreting cytokines & chemokines So it could play roles in the pathogenesis of coronary atherosclerosis & cardiomyopathy AIM/OBJECTIVE:–Study Epicardial Adipose Tissue (EAT) as an independent prognostic marker in hypertensive obese adult as recent cardiovascular risk marker and its comparison with Body mass index(BMI). MATERIAL & METHOD:–All adults patient attending the Medicine OPD in two year duration were enrolled in the study.Anthropometric data collection :–Weight(Kg), Height(cm), Waist Circumference(cm), Hip Circumference(cm).Echocardiography was performed after anthropometric measurements.Two dimensional targeted M–mode measurement of EAT as recommended by American Society of echocardiography(ASE). RESULT:–The BMI was found higher in the experimental group 42.48(+/–7.35)than control group 21.69(+/–3.32).BSA & WHR both were significantly higher in experimental than control group.EAT are significantly higher in experimental group than control group. CONCLUSION:–Reduction in BMI , marker of Obesity will lead to improvement of epicardial adipose tissue thickness& will likely to prevent further cardiovascular morbidity &mortality”
ABSTRACT
INTRODUCTION :- Obesity represent a state of ↑adipose tissue mass and is a precursor of many diseases . Obesity is a independent risk factor for stroke MI, Arrhythmias. structural and functional changes in the heart appears long before the detection of these overt clinical diseases. And these changes are better visualized by Echocardiography.The Echo diagnosis of LVH in obese help to prevent life threatening complication of obesity. AIM/OBJECTIVE:-[1]To study a correlation of left ventricular hypertrophy(eccentric) with anthropometric measurements of obese adults as an independent prognostic marker for Obesity. [2] To study LVH as represented by Left Ventricular Mass and its comparison with (a)BMI (Body Mass Index), (b)BSA(Body Surface Area) and (c)WHR(Waist To Hip Ratio). MATERIAL & METHOD:-All adults patient attending the Medicine OPD in two year duration were enrolled in the study.Anthropometric data collection :-Weight(Kg), Height(cm), Waist Circumference(cm), Hip Circumference(cm).Echocardiography was performed after anthropometric measurements. Two dimensional targeted M-mode measurement of LVM as recommended by American Society of echocardiography(ASE). RESULT:-The BMI was found higher in the experimental group 42.48(+/-7.35)than control group 21.69(+/-3.32).BSA & WHR both were significantly higher in experimental than control group.LVM is significantly higher in experimental group than control group. CONCLUSION:-Reduction in BMI , marker of Obesity will lead to improvement of Echocardiographic parameters of Obesity & will likely to prevent further cardiovascular morbidity & Mortality.