Obesity and Dysrhythmias

Rishi G. Anand MD, Robert W. Peters MD, Timothy P. Donahue MD
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引用次数: 19

Abstract

In the United States, obesity has reached epidemic proportions. Results from the 2003–2004 National Health and Nutrition Examination Survey estimated that 66% of US adults are either overweight (body mass index [BMI] 25–30 kg/m 2 ) or obese (BMI>30 kg/m 2 ) as defined by the BMI cutoffs established by the World Health Organization. In the 1970s, only 15% of the US population between the ages of 20 and 74 years was categorized as obese. In 2003, approximately 32% of the adult population was obese. Obesity plays an important role in the evolution of cardiovascular disease. This article reviews the histopathophysiologic changes that occur in cardiac structure and function in response to obesity, explores the relationship between obesity and arrhythmias such as atrial fibrillation and sudden cardiac death, and analyzes electrocardiographic changes in an obese patient.

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肥胖与心律失常
在美国,肥胖已经达到了流行病的程度。2003-2004年国家健康和营养检查调查的结果估计,66%的美国成年人要么超重(体重指数[BBMI]25-30 kg/m2)或肥胖(BMI>30 kg/m2),由世界卫生组织建立的BMI临界值定义。在20世纪70年代,只有15%的美国人口年龄在20岁至74岁之间 年被归类为肥胖。2003年,大约32%的成年人口肥胖。肥胖在心血管疾病的演变中起着重要作用。本文综述了肥胖引起的心脏结构和功能的组织病理生理变化,探讨了肥胖与心律失常(如心房颤动和心源性猝死)之间的关系,并分析了肥胖患者的心电图变化。
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