Evaluation of the precordial leads of the electrocardiogram in obesity

Jaffe, Henry L.; Corday, E; Mastér, Arthur M.

doi:10.1016/0002-8703(48)90285-3

Cited by 11 publications

(2 citation statements)

References 16 publications

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“…T wave flattening and inversion in obese patients were originally described by Jaffee et al . in 1938 (15). In a later study, Eisenstein and coworkers reported T wave inversion in lead III in 28% of 144 obese subjects and in 21% of 100 lean persons (3).…”

Section: T Wavementioning

confidence: 99%

Obesity and the electrocardiogram

et al. 2005

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Obesity is associated with a wide variety of electrocardiographic (ECG) abnormalities. Most of these reflect alterations in cardiac morphology. Some serve as markers of risk for sudden death. Key ECG abnormalities or alterations occurring with disproportionately high frequency in obese subjects include: leftward shifts of the P wave QRS and T wave axes, various changes in P wave morphology, low QRS voltage, various markers of left ventricular hypertrophy (particularly the Cornell voltage and product), T wave flattening in the inferior and lateral leads, lengthening of the corrected QT interval and prolonged QT interval duration. Alterations in the signal-averaged ECG and in heart rate variability may be arrhythmogenic. Cardiac arrhythmias have been described in obese subjects, but are often accompanied by left ventricular hypertrophy or the sleep apnea syndrome. Many of these ECG abnormalities are reversible with substantial weight loss. Thus, obesity is associated with a wide variety of ECG abnormalities, many of which are corrected by weight loss.

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Section: T Wavementioning

confidence: 99%

Obesity and the electrocardiogram

et al. 2005

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“…The apex beat is not easily felt in obese patients and heart sounds and murmurs are muffled. Jaffe et al (1948) reported the amplitude of praecordial T waves as measured in the unipolar (V) leads to be reduced to 50% of the normal. Arteries and veins are not easily accessible in fat arms and legs for diagnostic or therapeutic measures.…”

Section: Introductionmentioning

confidence: 99%

The Problem of Obesity in the Elderly

Haleem

1978

Int J Clinical Practice

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Obesity is the most common voluntary nutritional disorder and a major health problem of the affluent societies. The combination of excessive food intake and diminished physical activity is the main causal factor of obesity. It affects adversely almost every system in the body and creates diagnostic problems as well. It predisposes them to certain risks and makes life miserable particularly for the elderly.

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