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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Asymptomatic Obese Hypertensives and Need of Routine Echocardiography for Left Ventricular Mass Assessment and Treatment
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Asymptomatic Obese Hypertensives and Need of Routine Echocardiography for Left Ventricular Mass Assessment and Treatment

机译：无症状性肥胖高血压和需要常规超声心动图检查以评估左心室质量

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Background: Echocardiographic determination of Left Ventricle Mass (LVM) ? an important marker of cardiovascular disease, has been given a lot of importance in clinical diagnosis and in planning of treatment. Clinically asymptomatic compensated hypertensives show some pathological findings which are indicative of left ventricular dysfunction.Methods: The study population of 106 males, after a detailed clinical examination, were evaluated by echocardiography and were classified as per the body mass index classification of WHO Western Pacific Region in 2000 for Asian population. Fasting blood samples were taken to estimate blood sugar and lipid profile.Results: It was observed that subjects in normal range of body mass index 45 years (16.1%), subjects of overweight 45 years (10.29%) and obese I and II45 years (73.52%). The comparison between left ventricular mass which was indexed to height2.7 in subjects who were 45years was observed to be statistically significant (p<0.03). On comparing LVM/ht2.7 of normal BMI group with that of those with higher BMIs, it was noted to be significantly different (p<0.009), which was suggestive of adverse effects of increasing BMI on LVM. It was also observed that persons with increased BMIs showed changes in left ventricular geometry ? 30.13% had concentric hypertrophy, 17.80% had concentric remodeling, 8.21% had eccentric hypertrophy and that 38.35% had normal left ventricle geometry.Conclusion: The present study therefore, indicated that it was better to do an echocardiographic screening of asymptomatic subjects who had even a marginal increase in blood pressure and BMI, to diagnose potential cardiac dysfunction.
机译：背景：超声心动图测定左心室质量（LVM）？心血管疾病的重要标志物，在临床诊断和治疗计划中具有重要意义。临床无症状代偿性高血压表现出一些病理学发现，提示左心室功能不全。方法：对106名男性进行研究，经过详细的临床检查后，通过超声心动图进行评估，并根据WHO西太平洋地区体重指数分类在2000年成为亚洲人口。结果：观察到体重指数在正常范围45岁（16.1％），超重45岁（10.29％）和肥胖I的受试者处于正常状态。和II45年（73.52％）。在45岁的受试者中，以2.7的高度标示的左心室质量之间的比较被认为具有统计学意义（p <0.03）。在比较正常BMI组的LVM / ht2.7与BMI较高组的LVM / ht2.7时，发现存在显着差异（p <0.009），这表明BMI升高对LVM有不利影响。还观察到BMI升高的人的左心室几何形状有变化？结论：本研究表明，做一个更好的选择是：30.13％具有同心肥大，17.80％具有同心重塑，8.21％具有偏心肥大，38.35％具有正常的左心室几何。对无症状的受试者进行超声心动图检查，这些受试者甚至血压和BMI略有升高，以诊断潜在的心脏功能障碍。

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