| Full text | |
| Author(s): |
de Cleva, Roberto
[1, 2]
;
Araujo, Victor Arrais
[1]
;
Ornelas Buchalla, Carla Cristina
[1]
;
Costa, Fabio de Oliveira
[1]
;
Cardoso, Acacio Fernandes
[1]
;
Pajecki, Denis
[1]
;
Santo, Marco Aurelio
[1]
Total Authors: 7
|
| Affiliation: | [1] Univ Sao Paulo, Hosp Clin, Dept Gastroenterol, Sch Med, AVe Dr Arnaldo 455, BR-01246000 Sao Paulo, SP - Brazil
[2] Rua Cel Artur Godoi 125, Apto 152, BR-04018050 Sao Paulo, SP - Brazil
Total Affiliations: 2
|
| Document type: | Journal article |
| Source: | OBESITY SURGERY; v. 28, n. 4, p. 1047-1054, APR 2018. |
| Web of Science Citations: | 2 |
| Abstract | |
The purpose of this study is to correlate the left ventricular hypertrophy (LVH) patterns according to severe obesity and arterial hypertension (AHT) grades. A cross-sectional prospective study was conducted in 379 patients with severe obesity. Obesity was classified according to the BMI in the following: morbidly obese (MO; 40 < BMI < 50 kg/m(2)) and super obese (SO; BMI > 50 kg/m(2)). The AHT was classified into classes 1 and 2 according to American Heart Association. The presence of LVH and the pattern of cardiac remodeling were determined by transthoracic echocardiography. LVH was present in 58.6% of patients. Obesity and AHT had additive effects in LVH prevalence. LVH was found in 32.9 and 46.7% of MO with AHT grades 1 and 2, respectively. LVH was diagnosed in 39.1% in SO with AHT grade 1 and in 50% of AHT grade 2. Patients with AHT presented a significantly higher risk of developing LVH (OR 1.97; p = 0.003). Hypertension grade was also a determinant variable in the development of LVH. Patients with AHT 2 had 4.31-fold greater risk (p < 0.001) when compared to normotensive patients. BMI was only considered an independent risk factor for LVH in patients with BMI greater than 47.17 kg/m(2) (OR 1.62; p = 0.023). AHT is a stronger predictive factor of LVH than obesity grade. (AU) | |
| FAPESP's process: | 15/12265-4 - Patterns of cardiac hypertrophy in sever obesity according to the classification of obesity and the severity of sistemic arterial hypertension |
| Grantee: | Victor Arrais Araujo |
| Support Opportunities: | Scholarships in Brazil - Scientific Initiation |