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July 1, 1991The American Journal of CardiologyOpen Access

Abnormal left ventricular diastolic filling in eccentric left ventricular hypertrophy of obesity

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Key result

Obesity with eccentric LV hypertrophy is linked to impaired LV diastolic filling, prolonging deceleration half-time ~26%.

  • n=39

Why the study?

The left ventricular diastolic filling pattern in obese subjects with eccentric LV hypertrophy was not well characterized and needed comparison with normal and hypertensive subjects.

Does eccentric LV hypertrophy of obesity cause abnormal LV diastolic filling compared to normal controls and concentric LV hypertrophy of hypertension?

Comparison

Obese eccentric LV hypertrophy vs normal controls and hypertensive concentric LV hypertrophy

Design

Cross-sectional echocardiographic study

Authors

SCSimon ChakkoKyowa Hakko Kirin (Singapore)MMManuel MayorCentro Médico ABCMAMark D. AllisonUniversity of Miami

Discussion

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Implication

May indicate similar diastolic impairment in obese eccentric LVH as hypertensive concentric LVH; hypothesis-generating for echo interpretation adjustments.

Study Design

Type

Cross-Sectional (n=39)

Structured PICO

Does eccentric LV hypertrophy of obesity cause abnormal LV diastolic filling compared to normal controls and concentric LV hypertrophy of hypertension?

P
Population
39 subjects comprising 11 obese normotensive patients with eccentric LV hypertrophy, 10 normal controls, and 18 nonobese hypertensive patients with concentric LV hypertrophy.
C
Comparator
Normal control subjects and nonobese hypertensive patients with concentric LV hypertrophy.
O
Outcome
Left ventricular diastolic filling pattern evaluated by pulsed-wave Doppler echocardiographic filling indexessurrogate

Eccentric LV hypertrophy in obesity causes abnormal LV diastolic filling patterns similar to those seen in concentric LV hypertrophy of hypertension.

Cite This Study

Chakko et al. (1991) conducted a cross-sectional in Eccentric left ventricular hypertrophy of obesity (n=39). Obesity with eccentric LV hypertrophy vs. Normal control subjects and nonobese hypertensive patients with concentric LV hypertrophy was evaluated on Left ventricular diastolic filling pattern. Obesity with eccentric LV hypertrophy was associated with abnormal LV diastolic filling compared to normal controls, including prolonged deceleration half-time (108 vs 86 ms, P<0.01).

synapsesocial.com/papers/6ab60f3fb2b33ce757195742https://doi.org/10.1016/0002-9149(91)90718-z

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Diastolic Function of the Heart in Clinical Cardiology1988 · 118 citations
  2. 2Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements.1978 · 7,475 citations
  3. 3Health Implications of Overweight and Obesity in the United States1985 · 902 citations
  4. 4Echocardiographic criteria for left ventricular hypertrophy: The Framingham heart study1987 · 801 citations
  5. 5Dimorphic Cardiac Adaptation to Obesity and Arterial Hypertension1983 · 338 citations