109 LEFT VENTRICULAR REMODELLING IN BARIATRIC PATIENTS: STUDY WITH 4D ECHOCARDIOGRAPHY AND STRAIN
| Autor: | Julia Grapsa, Jonathan Cousins, Sherif Hakky, Douglas Morgan, Sanjay Purkayastha, Susan Connolly, Petros Nihoyannopoulos, David Dawson, Thomas E Kaier, Ahmed R. Ahmed, Kevin Fox |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Body surface area
medicine.medical_specialty Ejection fraction business.industry Diastolic heart failure Speckle tracking echocardiography medicine.disease Coronary artery disease medicine.anatomical_structure Ventricle Diabetes mellitus Internal medicine Heart rate medicine Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart. 99:A67.3-A67 |
| ISSN: | 1468-201X 1355-6037 |
| Popis: | Purpose The aim of this study was to examine left ventricular (LV) echocardiographic indices, 4D volumes and ejection fraction of bariatric patients (BMI >40). Methods Forty-nine consecutive normotensive bariatric patients (31 women (63.2%), 43 Caucasian, mean age: 45.7±9.7 years, BMI ≥40 kg/m 2 ) were examined with 3D and speckle tracking echocardiography pre-bariatric surgery and they were compared with an age-matched group of 30 healthy volunteers. Exclusion criteria were coronary artery disease, cardiomyopathies and arrhythmias. Statistical analysis was performed with SPSS V.14.0 and Medcalc softwares. All indices were indexed to body surface area and heart rate, where appropriate. Results Common comorbidities comprised diabetes mellitus (N=7), fatty liver (N=8), hypertension (N=8) and sleep apnoea (N=12). 2D echocardiography demonstrated dilatation of the left atrium in bariatric patients when compared to healthy volunteers (39.2±1.9 vs 32.3±2.6 mm, p Conclusions Bariatric patients demonstrate increase of LV mass, dilatation of the ventricle and signs of diastolic heart failure with preserved ejection fraction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|