THE HEART IN YOUNG MEN WITH OBESITY MANIFESTING ITSELF IN PUBERTY


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Twenty-nine young men with obesity manifesting itself in puberty, including 15 obese men with arterial hypertension (AH) and 14 obese men without AH, were examined. The blood lipid spectrum of the patients was determined. Their hearts were examined using echocardiography. Normal left ventricular (LV) geometry was found to be somewhat more common in the absence of AH than in the presence of elevated blood pressure (BP). Concentric and eccentric LV hypertrophy was observed with equal frequency in the above groups. Regardless of their BP level, the young men with obesity had the enlarged walls of the LV without its cavity dilatation. Altered transmitral flow E and A velocities along with the enlarged left atrium suggest that there is a prerequisite for the development of diastolic dysfunction in obesity during puberty.

Full Text

Restricted Access

About the authors

A. Verbovoy

Samara State Medical University

Professor, MD

E. Mitroshina

Samara State Medical University

Candidate of Medical Sciences

Yu. Dolgikh

Samara State Medical University

Email: yulyadoll@mail.ru

References

  1. Вилкинсон Я.Б., Стефен У.В., Коркрофт Д.Р. Артериальная гипертензия. Пер. с англ. / Budapest: Elsevier Science. - 2003; с. 230.
  2. Клиническая эндокринология: руководство. Под ред. Н.Т. Старковой / СПб.: Питер. - 2002; с. 576.
  3. Ожирение: этиология, патогенез, клинические аспекты. Под ред. И.И. Дедова / М.: МИА. - 2006; с. 456.
  4. Ройтберг Г.Е., Струтынский А.В. Внутренние болезни (сердечнососудистая система) / М.: Бином. - 2007; с. 920.
  5. Вилкенсхоф У., Крук И. Справочник по эхокардиографии. Пер. с нем. / М.: Мед. лит. - 2008; с. 240.
  6. Строев Ю.И., Чурилов Л.П. Эндокринология подростков. Под ред. А.И. Зайчика / СПб.: ЭЛБИ-СПб. - 2004; с. 384.
  7. Райдинг Э. Эхокардиография: практическое руководство. Пер. с англ. / М.: МЕДпресс-информ. - 2010; с. 280.
  8. Devereux R., Reichek N. Echocardiographic determination of left ventricular mass in man // Circulation. - 1977; 55: 613-8.
  9. Lauer M., Anderson K., Kannel W. et al. The impact of obesity on left ventricular mass and geometry: the Framingham Heart Study // JAMA. - 1991; 266: 231-6.
  10. Levy D., Garrison R., Savage D. et al. Prognostic implications of echocardiographically determined left ventricular mass in the Framingham Heart Study // New England J. of Medicine. - 1990; 322: 1561-6.
  11. De Simone G., Daniels S., Devereux R. et al. Left ventricular mass and body size in normotensive children and adults: assessment of allometric relations and impact of overweight // J. of the American College of Cardiology. - 1992; 20 (5): 1251-60.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2012 Russkiy Vrach Publishing House

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies