Avaliação da hipertrofia ventricular esquerda em obesos hipertensos. Impacto dos critérios de indexação da massa ventricular / Left ventricular hypertrophy evaluation in obese hypertensive patients. Effect of left ventricular mass index criteria
Arq. bras. cardiol
; 78(4): 341-351, Apr. 2002. tab, graf
Article
em Pt, En
| LILACS
| ID: lil-306439
Biblioteca responsável:
BR1.1
RESUMO
PURPOSE:
To evaluate left ventricular mass (LVM) index in hypertensive and normotensive obese individuals.METHODS:
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) <27; 27-30; > or = 30kg/m².RESULTS:
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.CONCLUSION:
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
Texto completo:
1
Índice:
LILACS
Assunto principal:
Hipertrofia Ventricular Esquerda
/
Hipertensão
/
Obesidade
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
/
Pt
Revista:
Arq. bras. cardiol
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2002
Tipo de documento:
Article