Different Grades of Body Mass Index is Correlated with Left Atrium and Ventricle Structure in Patients with Hypertensive Heart Disease
DOI:
https://doi.org/10.37506/ijphrd.v11i3.1894Keywords:
Cardiac Structure, Echocardiography, Hypertension, Obese, RemodellingAbstract
Background: Hypertensive Heart Disease (HHD) is usually followed by cardiac remodeling. Different
grades of Body Mass Index (BMI) also influence the cardiac structure. Hence, we evaluate the cardiac
structure of HHD patients with various BMI grades.
Materials and Method: This cross-sectional study involves 50 consecutive patients with HHD (hypertensive
heart disease) from the Cardiology and Vascular Medicine Departement, Soetomo General Hospital
Indonesia. Echocardiographic examination was done using GE vivid 7. Statistics were evaluated with SPSS
25.0.
Results: The research showed that the grades of BMI (body mass index) was positively correlated with
LA major (r=0.335), RA Major (r=0.371), LVD Mass (r=0.341), LVS Mass (r=0.303), LVPWD (r=0.369),
LVPWS (r=0.391), and inversely correlated with LVSI Dopp (r=-0.376). Obese (BMI>30) patients
have significantly lower ejection fraction compared to normoweight (BMI<25) patients (64.3±3.67% vs
62.12±0.98%, p=0.046).
Conclusions: The grades of BMI in the HHD patient is associated with an increased volume of the left
atrium and ventricle. This suggested that obese patient with HHD should be assessed carefully for atrial and
ventricle enlargement.
