Left ventricular remodeling patterns in children with metabolic syndrome

Introduction. Pathological left ventricular (LV) remodelling in children with metabolic syndrome (MS) is associated with a significant increase in cardiometabolic risk. However, data regarding the prevalence of LV remodelling patterns in children with MS are limited. Material and methods. An observ...

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Autores principales:	Veronica ESANU, Ina PALII, Veronica MOCANU, Lorina VUDU, Valeriu ESANU
Formato:	article
Lenguaje:	EN FR RO RU
Publicado:	Asociatia de Biosiguranta si Biosecuritate 2020
Materias:	metabolic syndrome children left ventricular remodeling patterns Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0543ee298298492c91223d915368b887
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spelling	oai:doaj.org-article:0543ee298298492c91223d915368b8872021-12-02T14:37:41ZLeft ventricular remodeling patterns in children with metabolic syndrome10.38045/ohrm.2020.1.152887-34582587-3466https://doaj.org/article/0543ee298298492c91223d915368b8872020-10-01T00:00:00Zhttps://journal.ohrm.bba.md/index.php/journal-ohrm-bba-md/article/view/71/36https://doaj.org/toc/2887-3458https://doaj.org/toc/2587-3466Introduction. Pathological left ventricular (LV) remodelling in children with metabolic syndrome (MS) is associated with a significant increase in cardiometabolic risk. However, data regarding the prevalence of LV remodelling patterns in children with MS are limited. Material and methods. An observational analytical cohort study was conducted on 145 children. The diagnosis of MS was established according to the International Diabetes Federation (IDF) criteria. We analyzed the echocardiography, as well as clinical and paraclinical data. Participants were distributed, depending on LV mass index and relative wall thickness into four LV geometric patterns as recommended by American and European Society of Echocardiography: normal geometry, concentric left ventricular remodeling (cLVR), concentric left ventricular hypertrophy (cLVH), and eccentric left ventricular hypertrophy (eLVH). Results. The pathological remodeling patterns were distributed as follows: 62.1% (n=90) participants showed a normal LV geometry pattern, 27.6% (n=40) – cLVH, 5.5% (n=8) – cLVR and 4.8% (n=7) – eLVH. In terms of presence/absence of MS, 54.7% (n=29) participants from the research group showed a normal LV geometry pattern, 32.1% (n=17) – cLVH, 5.7% (n=3) – cLVR and 7.5% (n=4) – eLVH, whereas 66.3% (n=61) participants from the control group presented normal LV geometric appearance, 25% (n=23) – cLVH, 5.4% (n=5) – cLVR and 3.3% (n=3) – eLVR (χ2=0.52; p>0.05). Conclusions. Concentric left ventricular hypertrophy was the commonest LV geometric pattern among the subjects with metabolic syndrome. Concentric left ventricular remodelling and eccentric left ventricular hypertrophy were rare among the study population.Veronica ESANUIna PALIIVeronica MOCANULorina VUDUValeriu ESANUAsociatia de Biosiguranta si Biosecuritatearticlemetabolic syndromechildrenleft ventricular remodelingpatternsMedicineRScienceQENFRRORUOne Health & Risk Management, Vol 1, Iss 2, Pp 41-49 (2020)
institution	DOAJ
collection	DOAJ
language	EN FR RO RU
topic	metabolic syndrome children left ventricular remodeling patterns Medicine R Science Q
spellingShingle	metabolic syndrome children left ventricular remodeling patterns Medicine R Science Q Veronica ESANU Ina PALII Veronica MOCANU Lorina VUDU Valeriu ESANU Left ventricular remodeling patterns in children with metabolic syndrome
description	Introduction. Pathological left ventricular (LV) remodelling in children with metabolic syndrome (MS) is associated with a significant increase in cardiometabolic risk. However, data regarding the prevalence of LV remodelling patterns in children with MS are limited. Material and methods. An observational analytical cohort study was conducted on 145 children. The diagnosis of MS was established according to the International Diabetes Federation (IDF) criteria. We analyzed the echocardiography, as well as clinical and paraclinical data. Participants were distributed, depending on LV mass index and relative wall thickness into four LV geometric patterns as recommended by American and European Society of Echocardiography: normal geometry, concentric left ventricular remodeling (cLVR), concentric left ventricular hypertrophy (cLVH), and eccentric left ventricular hypertrophy (eLVH). Results. The pathological remodeling patterns were distributed as follows: 62.1% (n=90) participants showed a normal LV geometry pattern, 27.6% (n=40) – cLVH, 5.5% (n=8) – cLVR and 4.8% (n=7) – eLVH. In terms of presence/absence of MS, 54.7% (n=29) participants from the research group showed a normal LV geometry pattern, 32.1% (n=17) – cLVH, 5.7% (n=3) – cLVR and 7.5% (n=4) – eLVH, whereas 66.3% (n=61) participants from the control group presented normal LV geometric appearance, 25% (n=23) – cLVH, 5.4% (n=5) – cLVR and 3.3% (n=3) – eLVR (χ2=0.52; p>0.05). Conclusions. Concentric left ventricular hypertrophy was the commonest LV geometric pattern among the subjects with metabolic syndrome. Concentric left ventricular remodelling and eccentric left ventricular hypertrophy were rare among the study population.
format	article
author	Veronica ESANU Ina PALII Veronica MOCANU Lorina VUDU Valeriu ESANU
author_facet	Veronica ESANU Ina PALII Veronica MOCANU Lorina VUDU Valeriu ESANU
author_sort	Veronica ESANU
title	Left ventricular remodeling patterns in children with metabolic syndrome
title_short	Left ventricular remodeling patterns in children with metabolic syndrome
title_full	Left ventricular remodeling patterns in children with metabolic syndrome
title_fullStr	Left ventricular remodeling patterns in children with metabolic syndrome
title_full_unstemmed	Left ventricular remodeling patterns in children with metabolic syndrome
title_sort	left ventricular remodeling patterns in children with metabolic syndrome
publisher	Asociatia de Biosiguranta si Biosecuritate
publishDate	2020
url	https://doaj.org/article/0543ee298298492c91223d915368b887
work_keys_str_mv	AT veronicaesanu leftventricularremodelingpatternsinchildrenwithmetabolicsyndrome AT inapalii leftventricularremodelingpatternsinchildrenwithmetabolicsyndrome AT veronicamocanu leftventricularremodelingpatternsinchildrenwithmetabolicsyndrome AT lorinavudu leftventricularremodelingpatternsinchildrenwithmetabolicsyndrome AT valeriuesanu leftventricularremodelingpatternsinchildrenwithmetabolicsyndrome
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Left ventricular remodeling patterns in children with metabolic syndrome

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