scholarly journals Relation between Body Mass Index, Waist Circumference, and Echocardiographic Index of Left Ventricular Diastolic Function

2016 ◽  
Vol 25 (2) ◽  
pp. 84-91 ◽  
Author(s):  
Yoon Jeong Cho ◽  
Geon Ho Lee
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Diastolic Function ◽  
Body Mass ◽  
Left Ventricular Diastolic Function ◽  
Left Ventricular ◽  
Ventricular Diastolic Function

scholarly journals Impact of Overweight and Obesity on Left Ventricular Diastolic Function and Value of Tissue Doppler Echocardiography

2013 ◽  
Vol 7 ◽  
pp. CMC.S11156 ◽  
Author(s):  
Antoine Kossaify ◽  
Nayla Nicolas
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Diastolic Function ◽  
Body Mass ◽  
Left Ventricular Diastolic Function ◽  
Tissue Doppler ◽  
Left Ventricular ◽  
Overweight And Obesity ◽  
Obese Patients ◽  
Ventricular Diastolic Function

Background Diastolic dysfunction is a common cause of heart failure with preserved systolic function in obese patients. Objective To assess diastolic function in a series of overweight and obese patients using conventional and tissue Doppler echocardiography. Setting and Method University hospital; left ventricular diastolic function was evaluated in 99 patients (mean age 61.59 ± 13.9 years); body mass index and waist circumference were assessed, and patients were subdivided into three groups according to their body mass index (kg/m2): [normal, (18.5-24.9); overweight, (25-29.9); obese, (> 29.9)]. Peak early (E) and late (A) transmural flow and peak early (E′) diastolic mitral annulus velocities were measured. Results Diastolic dysfunction was significantly higher in the overweight/obese groups compared to the normal body mass index group. The analysis was made with regard to waist circumference and other clinical characteristics, and multivariate regression analysis showed a direct and independent effect of body mass index on diastolic function [OR: 2.75; CI: 1.34-5.67; P = 0.006]. Discussion was made in view of the latest clinical data. Also, an insight into normal weight obesity is presented and discussed. Conclusion Overweight and obesity are found to have an independent negative impact on diastolic function as assessed by tissue Doppler imaging.

scholarly journals Risk factors for longitudinal changes in left ventricular diastolic function among women and men

Heart ◽  
2019 ◽  
Vol 105 (18) ◽  
pp. 1414-1422 ◽  
Author(s):  
Oscar L Rueda-Ochoa ◽  
Marco A Smiderle-Gelain ◽  
Dimitris Rizopoulos ◽  
Klodian Dhana ◽  
Jan-Kees van den Berge ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Diastolic Function ◽  
Body Mass ◽  
Left Ventricular Diastolic Function ◽  
Left Ventricular ◽  
Community Dwelling ◽  
Mixed Effect ◽  
Ventricular Diastolic Function ◽  
Longitudinal Changes

ObjectiveTo evaluate changes in left ventricular diastolic function (LVDF) parameters and their associated risk factors over a period of 11 years among community-dwelling women and men.MethodsEchocardiography was performed three times among 870 women and 630 men (age 67±3 years) from the prospective population-based Rotterdam Study during a period of 11-year follow-up. Changes in six continuous LVDF parameters were correlated with cardiovascular risk factors using a linear-mixed effect model (LMM).ResultsIn women, smoking was associated with deleterious longitudinal changes in deceleration time (DT) (Beta (β): 7.73; 95% CI 2.56 to 12.9) and high-density lipoprotein cholesterol was associated with improvement of septal e′ (β: 0.37; 95% CI 0.13 to 0.62) and E/e′ ratio (β: −0.46; 95% CI −0.84 to –0.08) trajectories. Among men, diabetes was associated with deleterious longitudinal changes in A wave (β: 3.83; 95% CI 0.06 to 7.60), septal e′ (β: −0.40; 95% CI −0.70 to –0.09) and E/e′ ratio (β: 0.60; 95% CI 0.14 to 1.06) and body mass index was associated with deleterious longitudinal changes in A wave (β: 1.25; 95% CI 0.84 to 1.66), E/A ratio (β: −0.007; 95% CI −0.01 to –0.003), DT (β: 0.86; 95% CI 0.017 to 1.71) and E/e′ ratio (β: 0.12; 95% CI 0.06 to 0.19).ConclusionsSmoking among women and metabolic factors (diabetes mellitus and body mass index) among men showed larger deleterious associations with longitudinal changes in LVDF parameters. The favourable association of HDL was mainly observed among women. This study, for the first time, evaluates risk factors associated with changes over time in continuous LVDF parameters among women and men and generates new hypothesis for further medical research.

SHORT –TERM RESULT OF STUDY LEFT VENTRICULAR DIASTOLIC FUNCTION IN ADROID OBESITY PATIENTS BY TISSUE DOPPLER IMAGING

2011 ◽  
pp. 85-90
Author(s):  
Cuu Long Nguyen
Keyword(s):  
Waist Circumference ◽  
Diastolic Function ◽  
Tissue Doppler Imaging ◽  
Doppler Echocardiography ◽  
Left Ventricular Diastolic Function ◽  
Tissue Doppler ◽  
Left Ventricular ◽  
Doppler Imaging ◽  
Transmitral Flow ◽  
Ventricular Diastolic Function

Aim of study: To study changes of left ventricular diastolic function and morphology in adroid obesity patients by standard doppler echocardiography and tissue doppler imaging. In that, evaluate the role of Tissue Doppler Imaging(TDI) in studying the left ventricular diastolic function. Patients and methods: We studied 30 obese patients (12 men have waist circumference ≥90cm and 18 women have waist circumference ≥80 cm), mean age 49.33±7.16 years , non hypertension and non diabetic, by conventional doppler echocardiography and tissue doppler imaging. Results: Mean BMI of obese patients: 25,35±2,87kg/m2. Waist circumference: 91,03±6,29cm. Left ventricular end- diastolic diameter: 45,9±4,05mm. Left ventricular mass: 143,47±35,56g. Left ventricular mass index: 85,69±19,55g/m2. Left atrial diameter: 36,34±4,33mm. The early diastolic wave of the transmitral flow velocity(E): 75,2±17,5 cm/s; the atrial systolic wave of the transmitral flow velocity: 76,2±16,5cm/s; the ratio of early diastolic wave to atrial systolic wave of the transmitral flow velocity: 0,99±0,29. The early diastolic wave of mitral annu-lus using pulsed TDI(Em): 12,1±3,3cm/s. The atrial systolic wave of mitral annu-lus using pulsed TDI(Am): 12,7±2,9cm/s. E to Em wave ratio: 6,76±2,19. Conclusion: In adroid obesity patients, the morphology of diastolic left ventricular changes earlier than the one’s function. Key word: Left ventricular function; Obesity; Tissue Doppler Echocardiography

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