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December 23, 2019International Journal of Advances in MedicineOpen Access

Evaluation of cardiac performance among asymptomatic obese subjects in comparison with normal individual

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Key result

Asymptomatic obesity is linked to ~32% thicker LV walls and diastolic dysfunction versus normal weight.

  • P<0.0001
  • n=100

Why the study?

Obesity is a major modern health issue, and its early effects on ventricular function warrant assessment via conventional 2D echocardiography and echocardiogram.

Does obesity alter echocardiographic measures of ventricular function in asymptomatic subjects compared to normal-weight individuals?

Population

50 asymptomatic obese subjects (BMI >30) and 50 normal individuals (BMI 20-24.9)

Comparison

Asymptomatic obese subjects vs normal individuals

Design

Prospective study

Authors

SWShishir K. WanjariPGPrakash R. GhogaleDSDaneshwar Singh

Discussion

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Overview

Hypothesis-generating for subclinical LV changes in asymptomatic obesity; prospective studies needed to assess clinical impact.

Study Design

Type

Cross-Sectional (n=100)

Multicenter

No

Structured PICO

Does obesity alter echocardiographic measures of ventricular function in asymptomatic subjects compared to normal-weight individuals?

P
Population
100 asymptomatic individuals (50 obese and 50 normal weight), with a mean age of 34.7 years and 60% female, evaluated for early cardiac changes using 2D echocardiography.
E
Exposure
Obesity (BMI >30)
C
Comparator
Normal weight (BMI 20-24.9)
O
Outcome
Ventricular function and cardiac performance assessed by conventional 2D echocardiographysurrogate

Main Result

Absolute Event Rate: 1.016% vs 0.77%

p-value: p=<0.0001

Asymptomatic obesity is associated with early subclinical structural and functional cardiac changes, including increased left ventricular wall thickness and diastolic dysfunction, detectable by echocardiography.

Limitations

  • Duration of obesity was not assessed as a determinant of cardiac changes
  • Reversibility of left ventricular dysfunction after weight reduction was not evaluated
  • Gender-wise analysis of LV systolic and diastolic functions was not performed
  • Small sample size limited the evaluation of other predictive variables
  • Newer load-independent echocardiographic techniques like tissue doppler imaging were not used

Cite This Study

Wanjari et al. (2019) conducted a cross-sectional in Obesity (n=100). Obesity (BMI > 30) vs. Normal BMI (18.5 to 25 kg/m2) was evaluated on Thickness of left ventricle (cm) (p=<0.0001). Asymptomatic obesity was associated with significantly increased left ventricular wall thickness (1.016 cm vs 0.77 cm, p<0.0001) and evidence of diastolic dysfunction compared to normal-weight individuals.

synapsesocial.com/papers/6aaa5a8fd0a3c768807e66f4https://doi.org/10.18203/2349-3933.ijam20195649
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Assessment of Cardiac Function1969 · 172 citations
  2. 2Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study2004 · 12,114 citations
  3. 3Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association2019 · 9,246 citations