Yıl: 2021 Cilt: 49 Sayı: 4 Sayfa Aralığı: 312 - 320 Metin Dili: İngilizce DOI: 10.5543/tkda.2021.57336 İndeks Tarihi: 29-01-2022

Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography

Öz:
Objective: The prevalence of obesity is increasing globally. Obesity has been shown to be associated with adverse cardiac outcomes. Current knowledge on the impairment of cardiac function caused by obesity in young adult population is lacking. Therefore, we aimed to evaluate the effect of obesity on cardiac deformation parameters in healthy obese individuals in early adulthood using 2D deformation imaging and 3D echocardiography. Methods: Seventy-seven volunteers with a body mass index (BMI) above 25 kg/m2who were between 18 and 30 years of age and a control group including 40 participants were included. Patients with a history of organic heart disease, poor image quality, or current pregnancy were excluded. Participants were classified as overweight (BMI of 25-29.9 kg/m2 ) and obese (BMI ≥ 30 kg/m2 ). Two dimensional and 3D appropriate echocardiographic images were recorded and further analyzed with a post-processing software to obtain the global longitudinal strain (GLS) of left (LV) and right ventricle (RV). Results: A total of 117 subjects without metabolic syndrome were enrolled. Conventional dimensional and functional parameters as well as 3D volumetric measurements showed no significant differences among the groups. Presence of epicardial fat tissue was higher in the obese group. Notable differences were found among the groups for both 2D speckle tracking derived and 3D LV GLS, RV GLS, RV free-wall LS (analysis of variance [ANOVA], p<0.05) showing lower deformation in obese subjects. LV torsion was found to be significantly higher (ANOVA, p<0.05) for the obese group. Conclusion: Obesity causes subclinical dysfunction of LV and RV in healthy obese subjects in early adulthood. Risk stratification should be performed by considering possible mentioned impact of obesity on myocardial functions.
Anahtar Kelime:

Erken erişkinlik dönemi obezitesi, 2B benek takibi ve 3B ekokardiyografi ile değerlendirilen bozulmuş sol ve sağ ventrikül fonksiyonları ile ilişkilidir

Öz:
Amaç: Obezite prevalansı tüm dünyada artmaktadır. Obezitenin olumsuz kardiyak sonuçlarla ilişkili olduğu gösterilmiştir. Genç yetişkin popülasyon için obezitenin neden olduğu kardiyak fonksiyon bozukluğuna ilişkin mevcut bilgiler sınırlıdır. Bu nedenle sağlıklı obez bireylerde erken erişkinlik döneminde obezitenin kardiyak deformasyon parametreleri üzerine etkisini 2B deformasyon görüntüleme ve 3B ekokardiyografi ile değerlendirmeyi amaçladık. Yöntemler: Vücut kitle indeksi (VKİ) 25 kg/m2 ’nin üzerinde ve 18 ile 30 yaşları arasında olan 77 gönüllü çalışmaya alındı. Kontrol grubu olarak 40 kişi dahil edildi. Organik kalp hastalığı öyküsü, kötü görüntü kalitesi veya mevcut hamileliği olan hastalar çalışma dışı bırakıldı. Katılımcılar hafif kilolu (VKİ 25-29.9 kg/m2 ) veya obez (VKİ >30 kg/m2 ) olarak sınıflandırıldı. 2B ve 3B uygun transtorasik ekokardiyografik görüntüler kaydedildi ve sol (SoV) ve sağ ventrikülün (SaV) global uzunlamasına straini (GUS) elde etmek için uygun yazılımla analiz edildi. Bulgular: Toplamda metabolik sendromu olmayan 117 gönüllü alındı. Geleneksel boyutsal ve fonksiyonel parametreler ve 3B hacimsel ölçümler gruplar arasında önemli bir farklılık göstermedi. Epikardiyal yağ dokusu varlığı obez grupta daha fazlaydı (p<0.05). Hem 2B benek takibi ile elde edilen, hem de 3B SoV GUS, SaV GUS, RV serbest duvar US (ANOVA, p<0.05) yönünden, obez grup için daha düşük deformasyon bulunarak anlamlı farklılık saptandı. SoV torsiyonu obezite grubunda anlamlı olarak yüksek bulundu (ANOVA, p<0.05). Sonuç: Obezite,sağlıklı deneklerde erken yetişkinlikte SoV ve SaV’ın subklinik disfonksiyonu ile ilişkilidir. Obezitenin miyokardiyal fonksiyonlar üzerindeki olası söz konusu etkisi dikkate alınarak risk sınıflandırması yapılmalıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Ünlü S, TACOY G (2021). Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography. , 312 - 320. 10.5543/tkda.2021.57336
Chicago Ünlü Serkan,TACOY GULTEN Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography. (2021): 312 - 320. 10.5543/tkda.2021.57336
MLA Ünlü Serkan,TACOY GULTEN Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography. , 2021, ss.312 - 320. 10.5543/tkda.2021.57336
AMA Ünlü S,TACOY G Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography. . 2021; 312 - 320. 10.5543/tkda.2021.57336
Vancouver Ünlü S,TACOY G Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography. . 2021; 312 - 320. 10.5543/tkda.2021.57336
IEEE Ünlü S,TACOY G "Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography." , ss.312 - 320, 2021. 10.5543/tkda.2021.57336
ISNAD Ünlü, Serkan - TACOY, GULTEN. "Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography". (2021), 312-320. https://doi.org/10.5543/tkda.2021.57336
APA Ünlü S, TACOY G (2021). Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography. Türk Kardiyoloji Derneği Arşivi, 49(4), 312 - 320. 10.5543/tkda.2021.57336
Chicago Ünlü Serkan,TACOY GULTEN Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography. Türk Kardiyoloji Derneği Arşivi 49, no.4 (2021): 312 - 320. 10.5543/tkda.2021.57336
MLA Ünlü Serkan,TACOY GULTEN Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography. Türk Kardiyoloji Derneği Arşivi, vol.49, no.4, 2021, ss.312 - 320. 10.5543/tkda.2021.57336
AMA Ünlü S,TACOY G Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography. Türk Kardiyoloji Derneği Arşivi. 2021; 49(4): 312 - 320. 10.5543/tkda.2021.57336
Vancouver Ünlü S,TACOY G Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography. Türk Kardiyoloji Derneği Arşivi. 2021; 49(4): 312 - 320. 10.5543/tkda.2021.57336
IEEE Ünlü S,TACOY G "Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography." Türk Kardiyoloji Derneği Arşivi, 49, ss.312 - 320, 2021. 10.5543/tkda.2021.57336
ISNAD Ünlü, Serkan - TACOY, GULTEN. "Early adulthood obesity is associated with impaired left ventricular and right ventricular functions evaluated by speckle tracking and 3D echocardiography". Türk Kardiyoloji Derneği Arşivi 49/4 (2021), 312-320. https://doi.org/10.5543/tkda.2021.57336