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REVIEW ARTICLE
Year : 2014  |  Volume : 24  |  Issue : 3  |  Page : 67-71

Role of cardiovascular ultrasound in the evaluation of obese subjects


1 Preventive and Rehabilitative Cardiology, Pordenone, Italy
2 Rehabilitative and Preventive Cardiology, Motta di Livenza (TV), Italy

Correspondence Address:
Francesco Antonini-Canterin
Preventive and Rehabilitative Cardiology, Pordenone, Via Montereale 24, 33170 Pordenone
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2211-4122.143961

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Obesity represents a worldwide increasing health problem. Obesity, through complex and not fully understood pathogenetic mechanisms, induces different structural and functional changes of left heart chambers, right heart chambers, and arteries. Ultrasound techniques are the first choice for a comprehensive assessment of the cardiovascular adaptation to obesity. This review summarizes the up-to-date literature on the topic, with particular focus on the main clinical studies, which range over different cardiovascular adaptations to obesity, namely left ventricular mass, diastolic function, right ventricle structure and function, arterial stiffness, and intima-media thickness. Also, the importance of epicardial fat and of the degree of obesity is described. Finally, the role of weight loss and bariatric surgery and the study of cardiovascular obesity-induced abnormalities in children and adolescent are discussed.


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