Correlation Between Body Mass Index and Echocardiographic Findings in Overweight Patients Compared to Normal-Weight Patients

Salehi, Mohammad Reza; Latif, Mehdi; Peighambari, Fatemeh; Dehestani, Mohammad; Ahmadi-Hanzaei, Seyed Vahid

doi:10.24200/imminv.v2i3.93

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…The CI is also considered as an important physiological and metabolic indicator of the metabolic status of various organs because the cardiac output is closely associated with the metabolic health of the organs (5,6). The cardiac function as a pump deteriorates due to several factors such as excessive weight and intraventricular conduction disorders in patients with acute coronary syndrome (7,8). Thus, it can be expected that the CI is considerably reduced in patients with functional impairment of vital organs, such as heart failure patients, critically ill patients, or those with metabolic disturbances.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of Cardiac Index to Predict Early and 30-Day Mortality in Non-Cardiac Patients Being Admitted to Intensive Care Units

Moradians

Moosavi

Lahiji

et al. 2019

IMMINV

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Introduction: Cardiac index is a hemodynamic parameter defined as the ratio of the cardiac output, i.e., the volume of blood ejected from the left ventricle in 1 min, to the body surface area. This study aimed to assess the cardiac index to predict early and 30-day outcomes of non-cardiac patients being admitted to intensive care units using a non-invasive approach. Materials and Methods: This prospective cohort study included 31 non-cardiac patients who were consecutively admitted to the intensive care units of Rasoul-e-Akram Hospital, Tehran, Iran, in 2016. On admission, the simplified acute physiology score II to predict mortality and the cardiac output (by two-dimensional echocardiography) of each patient were determined. The cardiac index was calculated by dividing the cardiac output by the body surface area. In-hospital mortality and complications were assessed, and the association between simplified acute physiology score II and cardiac index was determined. The patients were followed-up 30 days after discharge by telephone to determine late death, occurrence of myocardial infarction, readmission, or re-hospitalization. Results: The mean cardiac index was significantly lower among the patients who died in intensive care units than in those who survived (2.86 ± 0.63 versus 3.70 ± 0.49, p = 0.006). A significant inverse association was found between Simplified Acute Physiology Score II and cardiac index (r = −0.539, p = 0.002). The length of hospital and intensive care units stay was not associated with Simplified Acute Physiology Score -II or cardiac index. The receiver operating characteristic curve analysis revealed that the cardiac index was effective in predicting in intensive care units mortality (area under curve = 0.857, p = 0.007). The best cut-off value for the cardiac index to predict in intensive care units mortality was 3.35, yielding a sensitivity of 83.3% and a specificity of 80.0%. Conclusion: Measuring the cardiac index during intensive care units admission using a noninvasive approach even in non-cardiac patients can predict in intensive care units mortality with high sensitivity and specificity.

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Section: Introductionmentioning

confidence: 99%

Usefulness of Cardiac Index to Predict Early and 30-Day Mortality in Non-Cardiac Patients Being Admitted to Intensive Care Units

Moradians

Moosavi

Lahiji

et al. 2019

IMMINV

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“…In the case of significant carotid artery stenosis, removal of vessel occlusion improves a patient’s symptoms. Also, medical treatment, interventional angioplasty, and carotid endarterectomy (CEA) are applied for cases with symptomatic carotid artery stenosis ( 4 , 5 ). Carotid artery stenting (CAS) is a safe approved and maturing method for treatment of carotid artery stenosis, but there is still a greater risk of postoperative stroke after CAS compared to CEA ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Carotid arterial stent implantation follow-up and results in 50 patients: preliminary report

et al. 2018

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BackgroundCarotid artery stenting (CAS) is considered as a safe and effective procedure for treatment of carotid artery stenosis. Evaluation of this procedure’s complications is essential for proper clinical decision-making.ObjectiveThis study aimed to evaluate the cardiovascular events after CAS among our patients in Isfahan, Iran.MethodsThis case-series study was conducted on fifty patients from December 2013 to May 2016. These patients were referred to the cardiology centers of Isfahan, Iran by a neurologist, for stenting of extracranial carotid arteries. The second step was examining the patients by cardiac interventionist. Stenting was performed on symptomatic patients with carotid artery stenosis of more than 50 percent or asymptomatic patients with more than 70 percent carotid artery stenosis on Doppler ultrasonography. Neurologic evaluation was performed at baseline, during hospital stay, and follow-up. Transient ischemic attack (TIA)/Stroke and Myocardial infarction (MI) questionnaires were filled out by a cardiologist over telephone interviews with the patients, for follow-up of one month, six months and at the end of study. Carotid Doppler ultrasonography was performed before and 6 months after stenting for evaluation of restenosis. Indeed, during the follow-up study, the major adverse cardiac events (MACE) were evaluated. All data were analyzed through SPSS v.17.ResultsThe mean age of patients was 70.73 (±14.01) years old (range: 48–89 years old). Composite endpoint of death, stroke, and MI was totally 8 percent. The rate of carotid arterial restenosis (Luminal arterial narrowing>50%) was 8%.ConclusionsDespite the fact that carotid stenting is new in our center, our results can be compared to other important studies.

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Correlation Between Body Mass Index and Echocardiographic Findings in Overweight Patients Compared to Normal-Weight Patients

Cited by 2 publications

References 9 publications

Usefulness of Cardiac Index to Predict Early and 30-Day Mortality in Non-Cardiac Patients Being Admitted to Intensive Care Units

Usefulness of Cardiac Index to Predict Early and 30-Day Mortality in Non-Cardiac Patients Being Admitted to Intensive Care Units

Carotid arterial stent implantation follow-up and results in 50 patients: preliminary report

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