left ventricular hypertrophy evaluation in obese hypertensive patients: effect of left ventricular mass index criteria
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ID: 165463
2002
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Abstract
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.
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| Authors | ;Eduardo Cantoni Rosa;Valdir Ambrósio Moysés;Ricardo Cintra Sesso;Frida Liane Plavnik;Fernando Flexa Ribeiro;Nárcia E. B. Kohlmann;Artur Beltrame Ribeiro;Maria Tereza Zanella;Osvaldo Kohlmann Jr. |
| Journal | revista cubana de ciencias informáticas |
| Year | 2002 |
| DOI |
10.1590/S0066-782X2002000400001
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