THE INFLUENCE OF OBESITY AND BLOOD PRESSURE ON INDEXES OF CARDIAC FUNCTION ECHOCARDIOGRAPHIC ASSESSMENT
Cardiac function and structure of 193 hypertensive and obese subjects in total were evaluated by two-dimentionally guided M-mode echocardiographic findings. Following results were obtained. 1) A weak correlation was observed between body mass index and either left ventricular dimension in diastole o...
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| Published in | Japanese Journal of National Medical Services Vol. 52; no. 8; pp. 461 - 464 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of National Medical Services
20.08.1998
一般社団法人 国立医療学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-1699 1884-8729 |
| DOI | 10.11261/iryo1946.52.461 |
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| Abstract | Cardiac function and structure of 193 hypertensive and obese subjects in total were evaluated by two-dimentionally guided M-mode echocardiographic findings. Following results were obtained. 1) A weak correlation was observed between body mass index and either left ventricular dimension in diastole or left atrial dimension in the normotensive subjects. 2) After adjustments of age and sex, hypertensive subjects had greater left atrial dimension, left ventricular mass, interventricular septal thickness and left ventricular posterior wall thickness than normotensive subjects, whereas left ventricular dimension in diastole was similar between both groups. On the other hand, obese subjects had greater left ventricular dimension in diastole, left atrial dimension and left ventricular mass than nonobese subjects, whereas left ventricular wall thickness was similar between both groups. 3) Increased left ventricular mass in the hypertensive and obese subjects resulted respectively from left ventricular wall thickening and chamber dilatation. |
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| AbstractList | Cardiac function and structure of 193 hypertensive and obese subjects in total were evaluated by two-dimentionally guided M-mode echocardiographic findings. Following results were obtained. 1) A weak correlation was observed between body mass index and either left ventricular dimension in diastole or left atrial dimension in the normotensive subjects. 2) After adjustments of age and sex, hypertensive subjects had greater left atrial dimension, left ventricular mass, interventricular septal thickness and left ventricular posterior wall thickness than normotensive subjects, whereas left ventricular dimension in diastole was similar between both groups. On the other hand, obese subjects had greater left ventricular dimension in diastole, left atrial dimension and left ventricular mass than nonobese subjects, whereas left ventricular wall thickness was similar between both groups. 3) Increased left ventricular mass in the hypertensive and obese subjects resulted respectively from left ventricular wall thickening and chamber dilatation. Cardiac function and structure of 193 hypertensive and obese subjects in total were evaluated by two-dimentionally guided M-mode echocardiographic findings. Following results were obtained. 1) A weak correlation was observed between body mass index and either left ventricular dimension in diastole or left atrial dimension in the normotensive subjects. 2) After adjustments of age and sex, hypertensive subjects had greater left atrial dimension, left ventricular mass, interventricular septal thickness and left ventricular posterior wall thickness than normotensive subjects, whereas left ventricular dimension in diastole was similar between both groups. On the other hand, obese subjects had greater left ventricular dimension in diastole, left atrial dimension and left ventricular mass than nonobese subjects, whereas left ventricular wall thickness was similar between both groups. 3) Increased left ventricular mass in the hypertensive and obese subjects resulted respectively from left ventricular wall thickening and chamber dilatation. 肥満と血圧の心機能指標に及ぼす影響を心エコー図を記録した193例について検討した. 対象を肥満と非肥満群, それぞれの群をさらに正常血圧と高血圧群に分け, 心エコー図法で得られた計測値との関係をみた. その結果, (1) 正常血圧群では, Body mass indexと左房径(r=0.43, p<0.001), 左室拡張末期径(r=0.43, p<0.001)との間に弱い正相関関係を認めた. (2) 性と年齢を調整後, 高血圧群では正常血圧群に比して, 心室中隔(p<0.001), 左室後壁壁厚(p<0.01), 左室心筋重量(p<0.001)が大であった. 一方肥満群では非肥満群に比して左房径(p<0.001), 左室拡張末期径(p<0.001), 左室心筋重量(p<0.01)が大であった. (3) 高血圧群, 肥満群ともに左室心筋重量が増加したが, 高血圧群では壁厚の増加, 肥満群では左室内腔の拡大によるものであった. |
| Author | AKAHOSHI, Ryuichiro YOSHIMURA, Rikiya NISHIGAMI, Kazuhiro |
| Author_FL | 吉村 力也 西上 和宏 赤星 隆一郎 |
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| References | 6) Zarich SW et al: Left ventricular filling abnormalities in asymptomatic morbid obesity, Am J Cardiol 68: 377, 1991 3) Gottdiener JS et al: Left atrial size in hypertensive men: influence of obesity, race and age, J Am Coll Cardiol 29: 651-658, 1997 10) de la Maza MP et al: Ventricular mass in hypertensive and normotensive obese subjects, Int J Obes Relat Metab Disord 18: 193-197, 1994 5) Chakko S et al: Abnormal left ventricular diastolic filling in eccentric left ventricular hypertrophy of obesity, Am J Cardiol 68: 95-98, 1991 8) Lauer MS et al: Separate and joint influences of obesity and mild hypertension on left ventricular mass and geometry: the Framingham Heart Study, J Am Coll Cardiol 19: 130-134, 1992 9) Lauer MS et al: The impact of obesity on the left ventricular mass and geometry. The Framingham Heart Study, JAMA 266: 231-236, 1991 7) Grossman E et al: Left ventrcular filling in the systemic hypertension of obesity, Am J Cardiol 68: 57-60, 1991 1) Nakajima T et al: Noninvasive study of left ventricular performance in obese patients: influence of duration of obesity, Circulation 71 481-486, 1985 2) Devereux RB et al: Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings, Am J Cardiol 57: 450-458, 1986 4) Berkalp B et al: Obesity and left ventricular diastolic function, Int J Cardiol 52: 23-26, 1995 |
| References_xml | – reference: 3) Gottdiener JS et al: Left atrial size in hypertensive men: influence of obesity, race and age, J Am Coll Cardiol 29: 651-658, 1997 – reference: 6) Zarich SW et al: Left ventricular filling abnormalities in asymptomatic morbid obesity, Am J Cardiol 68: 377, 1991 – reference: 2) Devereux RB et al: Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings, Am J Cardiol 57: 450-458, 1986 – reference: 8) Lauer MS et al: Separate and joint influences of obesity and mild hypertension on left ventricular mass and geometry: the Framingham Heart Study, J Am Coll Cardiol 19: 130-134, 1992 – reference: 5) Chakko S et al: Abnormal left ventricular diastolic filling in eccentric left ventricular hypertrophy of obesity, Am J Cardiol 68: 95-98, 1991 – reference: 1) Nakajima T et al: Noninvasive study of left ventricular performance in obese patients: influence of duration of obesity, Circulation 71 481-486, 1985 – reference: 9) Lauer MS et al: The impact of obesity on the left ventricular mass and geometry. The Framingham Heart Study, JAMA 266: 231-236, 1991 – reference: 4) Berkalp B et al: Obesity and left ventricular diastolic function, Int J Cardiol 52: 23-26, 1995 – reference: 10) de la Maza MP et al: Ventricular mass in hypertensive and normotensive obese subjects, Int J Obes Relat Metab Disord 18: 193-197, 1994 – reference: 7) Grossman E et al: Left ventrcular filling in the systemic hypertension of obesity, Am J Cardiol 68: 57-60, 1991 |
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| Snippet | Cardiac function and structure of 193 hypertensive and obese subjects in total were evaluated by two-dimentionally guided M-mode echocardiographic findings.... |
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| SubjectTerms | blood pressure cardiac function echocardiography obesity 心エコー図 心機能 肥満 血圧 |
| Subtitle | ECHOCARDIOGRAPHIC ASSESSMENT |
| Title | THE INFLUENCE OF OBESITY AND BLOOD PRESSURE ON INDEXES OF CARDIAC FUNCTION |
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