2019
DOI: 10.1007/s12471-019-1282-x
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Body mass index related electrocardiographic findings in healthy young individuals with a normal body mass index

Abstract: IntroductionAn increased body mass index (BMI) (>25 kg/m2) is associated with a wide range of electrocardiographic changes. However, the association between electrocardiographic changes and BMI in healthy young individuals with a normal BMI (18.5–25 kg/m2) is unknown. The aim of this study was to evaluate the association between BMI and electrocardiographic parameters.MethodsData from 1,290 volunteers aged 18 to 30 years collected at our centre were analysed. Only subjects considered healthy by a physician aft… Show more

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Cited by 15 publications
(15 citation statements)
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“…For example, fat patients with a larger body mass index have a lower ECG amplitude. [25] In another previous study, Madias et al described that the loss of QRS amplitude in the ECGs in patients with sepsis is not due to cardiac dysfunction, but to an extracardiac reason, such as a reduction in the transfer impedance of the body volume conductor owing to water accumulation. [26] Recent studies have shown the possibility of arti cial intelligence for interpreting an ECG.…”
Section: Discussionmentioning
confidence: 96%
“…For example, fat patients with a larger body mass index have a lower ECG amplitude. [25] In another previous study, Madias et al described that the loss of QRS amplitude in the ECGs in patients with sepsis is not due to cardiac dysfunction, but to an extracardiac reason, such as a reduction in the transfer impedance of the body volume conductor owing to water accumulation. [26] Recent studies have shown the possibility of arti cial intelligence for interpreting an ECG.…”
Section: Discussionmentioning
confidence: 96%
“…In healthy adults with correct BMI (18.5–25.0 kg/m 2 ), discrete ECG alterations (similar to obesity although significantly less intense) are observed. These were related to altered atrial conduction, the leftward shift of the heart axis, and decreased Sokolow–Lyon voltage (Hassing et al, 2019 ). Even slight changes impact on detection pathologies of heart muscle like LVH.…”
Section: Discussionmentioning
confidence: 99%
“…ECG is affected by not only cardiac function but also other human factors. For example, a patient with fat and a larger body mass index has a lower ECG amplitude [ 26 ]. Madias et al reported that the loss of QRS amplitude in the ECGs in patients with sepsis is not due to cardiac dysfunction but due to an extracardiac reason such as a reduction in the transfer impedance of the body volume conductor owing to water accumulation [ 27 ].…”
Section: Discussionmentioning
confidence: 99%