Document Detail


Characteristics and impact of obesity on the outpatient echocardiography laboratory.
MedLine Citation:
PMID:  16563921     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The impact of the growing obesity epidemic on the outpatient echocardiography laboratory and the characteristics of these patients were retrospectively investigated. Over a 6-month period, 916 patients were referred for study, 49.7% of whom were obese (body mass index >29.9 kg/m(2)), whereas only 22.3% were normal weight (body mass index 18.5 to 25 kg/m(2)). The obese patients were more likely to be female, black, older, and referred because of dyspnea or suspected heart failure (58.1% vs 36.8%, p <0.001). Despite a poorer quality of echocardiographic studies requiring more use of intravenous left heart contrast, the left ventricular ejection fraction was estimated in a similar proportion of these patients (93.9% vs 96.6%, p = 0.016). However, pulmonary artery systolic pressure measurement was less successfully obtained (66.6% vs 80.6%, p = 0.002). Thus, the demographics and referral diagnoses of obese patients differ significantly from normal weight patients, and body habitus presents unique imaging challenges that were only partially met while consuming greater resources.
Authors:
Robert S Finkelhor; Moayyed Moallem; Robert C Bahler
Publication Detail:
Type:  Journal Article     Date:  2006-02-21
Journal Detail:
Title:  The American journal of cardiology     Volume:  97     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-03-27     Completed Date:  2006-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1082-4     Citation Subset:  AIM; IM    
Affiliation:
Case Western Reserve University at MetroHealth Medical Center, Cleveland, Ohio, USA. rfinkelhor@metrohealth.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Body Mass Index
Demography
Echocardiography*
Female
Heart Diseases / complications,  ultrasonography*
Humans
Male
Middle Aged
Obesity / complications,  epidemiology,  ultrasonography*
Referral and Consultation
Reproducibility of Results
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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