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Cardiovascular screening in asymptomatic adolescents with metabolic syndrome

Title
Cardiovascular screening in asymptomatic adolescents with metabolic syndrome
Authors
Bae H.K.Choi H.S.Sohn S.Shin H.-J.Nam J.-H.Hong Y.M.
Ewha Authors
홍영미손세정
SCOPUS Author ID
홍영미scopus; 손세정scopus
Issue Date
2015
Journal Title
Journal of Cardiovascular Ultrasound
ISSN
1975-4612JCR Link
Citation
vol. 23, no. 1, pp. 10 - 19
Keywords
AdolescentMetabolic syndromeStrain rateTissue Doppler imaging
Publisher
Korean Society of Echocardiography
Indexed
SCOPUS; KCI scopus
Abstract
Background: In recent days, the prevalence of childhood metabolic syndrome (MS) has increased substantially due to the increasing rate of childhood obesity on a global scale. The aims of this study were to detect the important parameters and provide the screening system to prevent cardiovascular disease in adolescents with MS. Methods: Ninety one male adolescents were divided into two groups based on the presence or absence of MS. Anthropometric measurement and laboratory study were studied. Intimal medial thickness and pulse wave velocity were estimated. Left ventricular mass index (LVMI), ejection fraction, myocardial velocity, strain and strain rate were measured by tissue Doppler imaging and strain rate imaging. Results: The prevalence of MS was 7.7%. Weight, body mass index (BMI), waist circumference (WC), glucose, insulin, homeostasis model assessment of insulin resistance, triglyceride and LVMI were significantly increased in the MS group. High density lipoprotein-cholesterol (HDL-C), peak early diastolic myocardial velocity (e’), systolic myocardial velocity (s’) and global longitudinal strain were significantly lower in the MS group. In univariant analysis, LVMI was significantly correlated with BMI, WC, fat %, fat mass, systolic blood pressure, alanine aminotransferase, total cholesterol (TC) and low density lipoprotein-cholesterol. e’ was significantly correlated with BMI, fat %, fat mass, and HDL-C. Global circumferential strain had significant correlation with glucose and TC. Basal anterolateral strain rate was significantly correlated with weight, BMI, WC, fat %, and fat mass. Conclusion: LVMI, strain and strain rate are practical and accurate parameters for assessment of left ventricular function in adolescents with MS. © 2015 Korean Society of Echocardiography.
DOI
10.4250/jcu.2015.23.1.10
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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