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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1988-10-11
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pubmed:abstractText |
Although the risk of developing congestive heart failure increases in parallel with the degree of obesity, load-dependent indexes of left ventricular function are found to be reduced in patients with morbid obesity only. We used the ratio of end-systolic wall stress to end-systolic volume index, which is load-independent, to assess myocardial contractility in 23 nonobese, 28 mildly obese and 26 moderately obese patients with mild to moderate essential hypertension. Although load-dependent indexes (i.e., ejection fraction, fractional fiber shortening and velocity of circumferential fiber shortening) were similar in the 3 groups, end-systolic wall stress to end-systolic volume index was lower in the moderately obese group (2.63 +/- 0.4, p less than 0.002) and even in the mildly obese group (2.88 +/- 0.8, p less than 0.05) than in the nonobese group (3.27 +/- 0.7). Further, there was a significant inverse relation between end-systolic wall stress to end-systolic volume index and body mass index (r = -0.34, p less than 0.005), diastolic diameter (r = -0.56, p less than 0.001) and left ventricular mass index (r = -0.55, p less than 0.001). Some obese patients have depressed myocardial contractility when compared with lean patients despite well-preserved pump function.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
62
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
594-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3414551-Adult,
pubmed-meshheading:3414551-Echocardiography,
pubmed-meshheading:3414551-Female,
pubmed-meshheading:3414551-Heart,
pubmed-meshheading:3414551-Humans,
pubmed-meshheading:3414551-Hypertension,
pubmed-meshheading:3414551-Male,
pubmed-meshheading:3414551-Middle Aged,
pubmed-meshheading:3414551-Myocardial Contraction,
pubmed-meshheading:3414551-Obesity,
pubmed-meshheading:3414551-Stroke Volume
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pubmed:year |
1988
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pubmed:articleTitle |
Myocardial contractility and left ventricular function in obese patients with essential hypertension.
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pubmed:affiliation |
Department of Internal Medicine, Ochsner Clinic, New Orleans, Louisiana 70121.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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