HEART REMODELING IN OVERWEIGHT AND OBESITY WITH CARDIAC COMORBIDITIES
Autor: | I. V. Logacheva, T. A. Ryazanova, V. R. Makarova, F. R. Avzalova, N. I. Maksimov |
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Jazyk: | ruština |
Rok vydání: | 2017 |
Předmět: | |
Zdroj: | Российский кардиологический журнал, Vol 0, Iss 4, Pp 40-46 (2017) |
Druh dokumentu: | article |
ISSN: | 1560-4071 2618-7620 |
DOI: | 10.15829/1560-4071-2017-4-40-46 |
Popis: | Aim. To assess structural geometric and functional disorders of the heart in males with coronary heart disease (CHD) comorbid with arterial hypertension (AH) and with visceral abdominal obesity, and to evaluate the grade of association of epicardial fat thickness (EFT) with cardiometabolic risk factors (RF).Material and methods. Totally, 90 in-patients included, males with AH and CHD and with metabolically unhealthy phenotype (MUP) at the age 61,2±1,7 y. o. with normal bodyweight (n=29) — 1 group, overweight (n=21) — 2 group, and obese (n=30) — 3 group, and 30 persons with metabolically healthy phenotype. All patients underwent anthropometric screening, calculation of visceral obesity index (VAI) and insulin resistance (HOMA-IR); lipid profile was assessed, and by the data from echocardiography the myocardial mas index (MMI) was evaluated, and EFT, the characteristics of the left ventricle hypertrophy (LVH) were counted and of diastolic dysfunction (DD).Results. The presence of obesity led to increase of metabolic RF in obese patients. Most informative were indexes as VAI (4,47±0,27; p |
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