What question did this study set out to answer?

To examine how body size affects cardiovascular structure and function and the importance of this consideration in clinical practice.

April 28, 2008Circulation

Does Size Matter?

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Why the study?

Does correcting cardiovascular measurements for body size improve diagnostic and therapeutic decision making in adults?

Population

Adult population undergoing cardiovascular measurements

Design

Review

Authors

FDFrederick E. DeweyGeneral Cardiology DRDavid N. RosenthalPediatric / Congenital Cardiology DMDaniel J. MurphyUniversity of Utah

Discussion

Member takes

Implication

Neglecting body size in CV assessments risks misdiagnosis; leaves open whether routine indexing improves adult outcomes.

Key Points

To examine how body size affects cardiovascular structure and function and the importance of this consideration in clinical practice.
Review of current cardiovascular scaling practices and their limitations
Analysis of experimental and theoretical evidence relating body size to cardiovascular dimensions
Illustration of the confounding effects of body size in specific disease states.
Current scaling practices may misguide diagnosis and treatment in conditions like hypertrophic cardiomyopathy and congestive heart failure.
Illustrates the need for a new understanding of normative relationships between body size and cardiovascular health.
Advocates for large-scale studies to improve body size consideration in cardiovascular evaluations.

Structured PICO

Does correcting cardiovascular measurements for body size improve diagnostic and therapeutic decision making in adults?

Population

Adult population undergoing cardiovascular measurements

Intervention

Correction/scaling of cardiovascular measurements for body size

Appropriately scaling cardiovascular parameters for body size is critical for accurate diagnosis and management of cardiovascular diseases in adults.

Limitations

Large-scale studies in clinical populations are needed to define normative relationships

Cite This Study

Dewey et al. (2008) studied this question.

synapsesocial.com/papers/69fd287418019853544904bd https://doi.org/10.1161/circulationaha.107.736785

Topics

Cardiomyopathy

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Does Size Matter?

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Topics

Does Size Matter?

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Also Consider

Topics

Also Consider