Asymptomatic Obese Hypertensives and Need of Routine Echocardiography for Left Ventricular Mass Assessment and Treatment
Background: Echocardiographic determination of Left Ventricle Mass (LVM) – an important marker of cardiovascular disease, has been given a lot of importance in clinical diagnosis and in planning of treatment. Clinically asymptomatic compensated hypertensives show some pathological findings which...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2013-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/3235/19-%206227_PF1(M)_E(C)_F(T)_PF1(V)_PF1(T)_PFA(RP)_PF3_(PUH)_B.pdf |
| Summary: | Background: Echocardiographic determination of Left Ventricle
Mass (LVM) – an important marker of cardiovascular disease,
has been given a lot of importance in clinical diagnosis and in
planning of treatment. Clinically asymptomatic compensated
hypertensives show some pathological findings which are
indicative of left ventricular dysfunction.
Methods: The study population of 106 males, after a detailed
clinical examination, were evaluated by echocardiography and
were classified as per the body mass index classification of WHO
Western Pacific Region in 2000 for Asian population. Fasting
blood samples were taken to estimate blood sugar and lipid
profile.
Results: It was observed that subjects in normal range of body
mass index <45 years (23.68%) and >45 years (16.1%), subjects
of overweight <45 years (15.7%) and >45 years (10.29%) and
obese I and II<45 years (60.52%) and >45 years (73.52%). The
comparison between left ventricular mass which was indexed
to height2.7 in subjects who were <45 years and >45years was
observed to be statistically significant (p<0.03). On comparing
LVM/ht2.7 of normal BMI group with that of those with higher
BMIs, it was noted to be significantly different (p<0.009), which
was suggestive of adverse effects of increasing BMI on LVM. It
was also observed that persons with increased BMIs showed
changes in left ventricular geometry – 30.13% had concentric
hypertrophy, 17.80% had concentric remodeling, 8.21% had
eccentric hypertrophy and that 38.35% had normal left ventricle
geometry.
Conclusion: The present study therefore, indicated that it was
better to do an echocardiographic screening of asymptomatic
subjects who had even a marginal increase in blood pressure and
BMI, to diagnose potential cardiac dysfunction. |
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| ISSN: | 2249-782X 0973-709X |