Overweight and sudden death increased ventricular ectopy in cardiopathy of obesity

Messerli, Franz H., Nunez, Boris D., Ventura, Hector O. and Snyder, David W. (1987) Overweight and sudden death increased ventricular ectopy in cardiopathy of obesity. Archives of Internal Medicine, 147 10: 1725-1728. doi:10.1001/archinte.1987.00370100039008

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Author Messerli, Franz H.
Nunez, Boris D.
Ventura, Hector O.
Snyder, David W.
Title Overweight and sudden death increased ventricular ectopy in cardiopathy of obesity
Journal name Archives of Internal Medicine   Check publisher's open access policy
ISSN 0003-9926
Publication date 1987-10
Sub-type Article (original research)
DOI 10.1001/archinte.1987.00370100039008
Open Access Status File (Publisher version)
Volume 147
Issue 10
Start page 1725
End page 1728
Total pages 4
Place of publication Chicago, IL, United States
Publisher American Medical Association
Language eng
Abstract besity has been documented to be an independent risk factor for sudden death and other cardiovascular mortality. The present study was designed to monitor and quantify cardiac arrhythmias in obese subjects with and without eccentric left ventricular hypertrophy, who were matched with regard to arterial pressure, age, sex, and height with lean subjects. Prevalence of premature ventricular (but not atrial) contractions was 30 times higher in obese patients with eccentric left ventricular hypertrophy compared with lean subjects. Similarly, obese patients with left ventricular hypertrophy scored higher with regard to the classification of Lown and Wolf than those without left ventricular hypertrophy and lean subjects having the same level of arterial pressure. Patients' class in the Lown and Wolf system correlated with ventricular diastolic diameter and left ventricular mass. Thus, heart enlargement of the eccentric type as a consequence of obesity predisposes to excessive ventricular ectopy. Echocardiographic assessment and electrocardiographic monitoring allow us to identify the patients who are at highest risk of more serious arrhythmias or possibly sudden death and to subject them to the most specific preventive and therapeutic measures.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Created: Mon, 14 Mar 2011, 10:12:28 EST