Left ventricle diastolic dysfunction in obese patients with newly diagnosed arterial hypertension

Abstract

This study suggests that newly diagnosed arterial hypertension significantly contributes to impairment of left ventricular diastolic function in obese patients before development of structural aberrations detectable on echocardiography.

Myocardial dysfunction measured by tissue Doppler echocardiography in children with primary arterial hypertension

“…The mean values of early mitral inflow velocity (E wave) did not differ significantly in the examined groups. Similar findings in children with hypertension and obesity were observed by Persic et al [23].…”

What Is the Effect of Metabolic Syndrome without Hypertension on Left Ventricular Hypertrophy?

“…Although LV overload is the main factor responsible for LVH in hypertensive patients, LVH does not occur in all hypertensive patients …”

“…3 Although LV overload is the main factor responsible for LVH in hypertensive patients, LVH does not occur in all hypertensive patients. 4 Other factors may have a role in increasing LV mass in hypertensive patients such as genetic, 5 environmental, 6 and metabolic factors. 7 It was established that the presence of MetS is strongly associated with an increased risk of cardiovascular events, and this risk has been attributed partly to the effect of MetS items on the developing of LVH.…”

Choice of Imaging Modality in the Assessment of Coronary Artery Disease Risk in Extreme Obesity

“…Diagnosis of depressed LV ejection fraction carries prognostic implications that alter patient management (10). In obese individuals, echocardiography has been shown to detect alterations of diastolic function in asymptomatic patients referred for bariatric surgery, patients with newly diagnosed arterial hypertension, and patients with obstructive sleep apnea (11,12,13). Some investigators have suggested a staged evaluation of obese patients prior to bariatric surgery with echocardiography performed only in those with baseline electrocardiogram abnormalities such as conduction or ST‐T wave abnormalities (14).…”