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Echocardiographic Systolic and Diastolic Function Parameters Are Not Significantly Altered in Isolated Pediatric Excess Weight Cover

Echocardiographic Systolic and Diastolic Function Parameters Are Not Significantly Altered in Isolated Pediatric Excess Weight

Open Access
|May 2022

Figures & Tables

Mean values of main left ventricular diastolic function parameters in the entire study population at baseline, by age group

2 – 5 years6 – 9 years10 – 13 years14 – 18 yearsTotal
E-wave (m/s)1.02 (±0.10)0.99 (±0.13)0.88 (±0.11)0.87 (±0.10)0.92 (±0.13)
A-wave (m/s)0.63 (±0.04)0.62 (±0.13)0.59 (±0.11)0.57 (±0.09)0.60 (±0.11)
E/A1.59 (±0.17)1.66 (±0.35)1.54 (±0.31)1.56 (±0.28)1.58 (±0.31)
DT (ms)105.6 (±23.78)136.9 (±23.92)134.63 (±24.76)148.55 (±27.22)137.21(±27.28)
IVRT51.40 (±7.03)63.23 (±14.78)65.20 (±13.66)71.05 (±9.03)65.26 (±13.47)
Vp73.68 (±10.81)65.67 (±14.49)66.77 (±17.53)60.13 (±14.42)65.11 (±15.79)
E/Vp1.42 (±0.28)1.61 (±0.47)1.41 (±0.39)1.52 (±0.33)1.50 (±0.40)
e’ lateral septal13.68 (±1.80)12.67 (±2.23)13.43 (±1.37)12.98 (±2.74)13.10 (±2.07)
E/e’ septal7.35 (±0.55)8.26 (±3.1)6.56 (±0.66)7 (±1.51)7.24 (±2.03)
e’ lateral lateral18.32 (±2.85)17.73 (±3.61)19.19 (±2.68)19.17 (4.12)18.68 (±3.5)
E/e’ lateral5.59 (±0.96)5.88 (±1.65)4.66 (±0.84)4.72 (±0.88)5.11 (±1.28)

Comparison of mean stroke volume and cardiac output, normalized to body surface area

Excess weight M (SD)Controls M (SD)Statistical analysis
Stroke volume normalized to body surface area28.97 (5.83)34.49 (7.77)t(66)= −3.3P=0.00195% C.I. [−8.8, −2.21]
Cardiac index2.49 (0.57)2.9 (0.91)t(39.6)= −2.1P=0.04195% C.I. [−0.81, −0.01]

Baseline participant characteristics

CategoryExcess weightControlP value
Fasting plasma glucoseMean (mg/dl) ±SD93.02 ± 8.7590.61 ± 8.11NS
Lipid profile
Modifieda total cholesterol (%)64.926.9<0.01
Modifieda triglycerides (%)5020<0.05
HTN prevalence (ABPM)b (%)14.34NS
Metabolic syndromec (%)21.10<0.05

Comparison of mean stroke volume and cardiac output, normalized to body surface area to its age-specific allometric power for individuals under 18 years of age5

Excess weight M (SD)Controls M (SD)Statistical analysis
Stroke volume normalized to body surface area0.8231.12 (6.44)36.83 (8.73)t(66)= −3.1P=0.00395% C.I. [−9.38, −2.03]
Cardiac output normalized to body surface area0.533 (0.72)3.4 (1.06)t(66)= −1.87P=0.06595% C.I. [−0.84, −0.02]

Left ventricular ejection fraction in the excess weight and normal weight groups_ Percentages are derived from total valid measurements in all participants, regardless of weight status

TeichholzSimpson's biplane
EWNWEWNW
LVEF <50%, n (%)0 (0%)0 (0%)1 (1.51%)0 (0%)
LVEF 50–54.9%, n (%)2 (2.81%)0 (0%)6 (9.09%)0 (0%)
LVEF 55–59.9%, n (%)1 (1.4%)0 (0%)13 (19.69%)4 (6.06%)
LVEF 60–69.9%, n (%)15 (21.12%)9 (12.67%)18 (27.27%)19 (28.78%)
LVEF ≥70%, n (%)25 (35.21%)19 (26.76%)2 (3.03%)3 (4.54%)
DOI: https://doi.org/10.47803/rjc.2020.31.4.855 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
Language: English
Page range: 855 - 860
Published on: May 5, 2022
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Cristina Ramona Radulescu, Ioana Adriana Ghiorghiu, Ana-Maria Berchimis, Mihaela Dascalasu, Gabriela Vlad, Doina Anca Plesca, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.