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Evaluation of Atrial Electromechanical Delay in Children with Obesity

Background and Objective: Childhood obesity is one of the worldwide health problems with an increasing prevalence and accompanied by severe morbidity and mortality. It is a serious predisposing risk factor especially for the development of cardiovascular diseases and arrhythmias. Electromechanical d...

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Autores principales: Temiz, Fatih, Güneş, Hatice, Güneş, Hakan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6630771/
https://www.ncbi.nlm.nih.gov/pubmed/31151287
http://dx.doi.org/10.3390/medicina55060228
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author Temiz, Fatih
Güneş, Hatice
Güneş, Hakan
author_facet Temiz, Fatih
Güneş, Hatice
Güneş, Hakan
author_sort Temiz, Fatih
collection PubMed
description Background and Objective: Childhood obesity is one of the worldwide health problems with an increasing prevalence and accompanied by severe morbidity and mortality. It is a serious predisposing risk factor especially for the development of cardiovascular diseases and arrhythmias. Electromechanical delay (EMD) is known to be a predictor for the development of atrial fibrillation (AF). Our study aims to investigate whether EMD, which is a predictor of AF, prolongs in obese children or not. Material and Methods: The study included 59 obese patients aged between 8–18 years and 38 healthy patients as the control group with a similar age and gender. All the individuals underwent transthoracic echo and tissue Doppler echocardiography. Systolic and diastolic left ventricular (LV) functions, inter- and intra-atrial electromechanical delay were measured by tissue Doppler imaging (TDI) and conventional echocardiography. Results: Obese patients had significantly lengthened P-wave on surface ECG to the beginning of the late diastolic wave (PA) lateral, PA septum, intra- and inter-atrial electromechanical delays when compared with the control group (p < 0.001, p = 0.001, p < 0.001 and p < 0.001, respectively) Inter-atrial EMD and intra-atrial EMD correlated positively with body mass index (BMI) values (r = 0.484, p < 0.001 and r = 0.376, p = 0.001; respectively) BMI was significantly related with inter-atrial EMD (β = 0.473, p < 0.001) However, there was no relationship between inter-atrial EMD and serum glucose and platelet count. Conclusion: In our study, we declared that electromechanical delay was increased in obese children when compared to the control group and intra- and inter-atrial electromechanical delay was in correlation with body mass index. Furthermore, we discovered that BMI is an independent predictor of the inter-atrial EMD in obese children.
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spelling pubmed-66307712019-08-19 Evaluation of Atrial Electromechanical Delay in Children with Obesity Temiz, Fatih Güneş, Hatice Güneş, Hakan Medicina (Kaunas) Article Background and Objective: Childhood obesity is one of the worldwide health problems with an increasing prevalence and accompanied by severe morbidity and mortality. It is a serious predisposing risk factor especially for the development of cardiovascular diseases and arrhythmias. Electromechanical delay (EMD) is known to be a predictor for the development of atrial fibrillation (AF). Our study aims to investigate whether EMD, which is a predictor of AF, prolongs in obese children or not. Material and Methods: The study included 59 obese patients aged between 8–18 years and 38 healthy patients as the control group with a similar age and gender. All the individuals underwent transthoracic echo and tissue Doppler echocardiography. Systolic and diastolic left ventricular (LV) functions, inter- and intra-atrial electromechanical delay were measured by tissue Doppler imaging (TDI) and conventional echocardiography. Results: Obese patients had significantly lengthened P-wave on surface ECG to the beginning of the late diastolic wave (PA) lateral, PA septum, intra- and inter-atrial electromechanical delays when compared with the control group (p < 0.001, p = 0.001, p < 0.001 and p < 0.001, respectively) Inter-atrial EMD and intra-atrial EMD correlated positively with body mass index (BMI) values (r = 0.484, p < 0.001 and r = 0.376, p = 0.001; respectively) BMI was significantly related with inter-atrial EMD (β = 0.473, p < 0.001) However, there was no relationship between inter-atrial EMD and serum glucose and platelet count. Conclusion: In our study, we declared that electromechanical delay was increased in obese children when compared to the control group and intra- and inter-atrial electromechanical delay was in correlation with body mass index. Furthermore, we discovered that BMI is an independent predictor of the inter-atrial EMD in obese children. MDPI 2019-05-30 /pmc/articles/PMC6630771/ /pubmed/31151287 http://dx.doi.org/10.3390/medicina55060228 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Temiz, Fatih
Güneş, Hatice
Güneş, Hakan
Evaluation of Atrial Electromechanical Delay in Children with Obesity
title Evaluation of Atrial Electromechanical Delay in Children with Obesity
title_full Evaluation of Atrial Electromechanical Delay in Children with Obesity
title_fullStr Evaluation of Atrial Electromechanical Delay in Children with Obesity
title_full_unstemmed Evaluation of Atrial Electromechanical Delay in Children with Obesity
title_short Evaluation of Atrial Electromechanical Delay in Children with Obesity
title_sort evaluation of atrial electromechanical delay in children with obesity
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6630771/
https://www.ncbi.nlm.nih.gov/pubmed/31151287
http://dx.doi.org/10.3390/medicina55060228
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