DOI QR코드

DOI QR Code

심장초음파검사에서 좌심방 확장과 대사증후군 요인과의 상관관계

Correlation of Left Atrial Enlargement and Metabolic Syndrom Risk Factors in Echocardiography

  • 배혜진 (한서대학교 방사선학과) ;
  • 하명진 (한서대학교 방사선학과) ;
  • 김정구 (한서대학교 방사선학과)
  • Bae, Hye-Jin (Department of Radiological Science, Hanseo University) ;
  • Ha, Myeong-Jin (Department of Radiological Science, Hanseo University) ;
  • Kim, Jeong-Koo (Department of Radiological Science, Hanseo University)
  • 투고 : 2020.05.25
  • 심사 : 2020.06.29
  • 발행 : 2020.06.30

초록

This study investigated the relationship between metabolic syndrom risk factors to patients with left atrial enlargement according to the results of echocardiography. Male were 269(8.9%) and female were 46(1.5%) that of the total 315 patients (10.5%) with left atrial enlargement. In the obesity factors analysis, BMI, WC, and WHtR were associated with left atrial enlargement. Among them, WHtR included the many obese people with left atrial enlargement. In the analysis of blood pressure, The systolic blood pressure was the highest in the borderline hypertension group in the left atrial enlargement and the diastolic blood pressure was the highest in the normal range group in the left atrial enlargement. In the blood result analysis, there was no correlation with left atrial enlargement that total cholesterol, HDL, LDL cholesterol, triglyceride, and fasting blood glucose level were within the normal range. Therefore, obesity and systolic blood pressure were associated with the left atrial enlargement group. However, the systolic blood pressure did not show pathological condition due to borderline hypertension, and the distribution of the left atrial enlargement group was smaller than that of obesity. Obesity, which includes the largest number of left atrial enlargement group, has been identified to be the highest risk factor for left atrial enlargement.

키워드

참고문헌

  1. Lee YH, Yoon SJ, Kim A, et al., Health performance and challenges in Korea: A review of the global burden of disease study. Journal of Korean Medical Science. 2016;Suppl(2):114-5.
  2. Ministry of Health and Welfare. National Health Statistics, KCDC, http://www.nih.go.kr,2016.
  3. Jo AR, Jung JH. A study on public communication campaigns to improve recognition on cardio-cerebrovascular disease. Journal of Brand Design Association of Korea. 2017;15(2):17-30. https://doi.org/10.18852/BDAK.2017.15.2.17
  4. Ferket BS, Colkesen EB, Visser JJ, et al., Systematic review of guidelines on cardiovascular risk assessment: Which recommendations should clinicians follow for a cardiovascular health check?. Archives of Internal Medicine. 2010;170(1):27-40. https://doi.org/10.1001/archinternmed.2009.434
  5. Patel DA, Lavie CJ, Milani RV, Shah S, Gilliland Y. Clinical implications of left atrial enlargement: A review. The Ochsner Journal. 2009;9(4):191-6.
  6. Choi SH. Hypertension and diabetes. Heart & Blood Vessels. 2017;19(2):10-4.
  7. International Obesity Task Force. The Asia-pacific perspective: Redefining obesity and its treatment. Western Pacific Region of the World Health Organization, 2000;17-20.
  8. Han TS, van Leer EM, Seidell JC, Lean MEJ. Waist circumference action levels in the identification of cardiovascular risk factors: Prevalence study in a random sample. BMJ. 1995;311:1401-2. https://doi.org/10.1136/bmj.311.7017.1401
  9. CM Lee, Huxley RR, Wildman RP, Woodward M. Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI: A meta-analysis. Journal of Clinical Epidemiology. 2008;61(7):646-53. https://doi.org/10.1016/j.jclinepi.2007.08.012
  10. Browning LM, Hsieh SD, Ashwell M. A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.5 could be a suitable global boundary value. Nutrition Research Reviews. 2010;23(2):247-8. https://doi.org/10.1017/S0954422410000144
  11. Park SH, Choi SJ, Lee KS, Park HY. Waist circumference and waist-to-height ratio as predictors of cardiovascular disease risk in Korean adults. Circulation Journal. 2009;73:1643-4. https://doi.org/10.1253/circj.CJ-09-0161
  12. Lam BCC, Koh GCH, Chen C, Wong MTK, Fallows SJ. Comparison of Body Mass Index (BMI), Body Adiposity Index (BAI), Waist Circumference (WC), Waist-To-Hip Ratio (WHR) and Waist-To-Height Ratio (WHtR) as Predictors of Cardiovascular Disease Risk Factors in an Adult, Population in Singapore. PLoS One. 2015;10(4):1-2.
  13. Hsieh SD, Muto T. Metabolic syndrome in Japanese men and women with special reference to the anthropometric criteria for the assessment of obesity: Proposal to use the waist-to-height ratio. Prev Med. 2006;42(2):135-9. https://doi.org/10.1016/j.ypmed.2005.08.007
  14. Stritzke J, Markus MRP, Duderstadt S, et al. The aging process of the heart: Obesity is the main risk factor for left atrial enlargement during aging. Journal of the American College of Cardiology. 2009;54(21):1982-9. https://doi.org/10.1016/j.jacc.2009.07.034
  15. Kim A, Kim J, Jung D. Relationship ketonuria and dyslipidemia in Korean adults aged 20 years and older. Korean Journal of Family Practice. 2018;8(3):417-22. https://doi.org/10.21215/kjfp.2018.8.3.417
  16. Mahajan R, Lau DH, Brooks AG, et al., Electrophysiological, electroanatomical, and structural remodeling of the atria as consequences of sustained obesity. Journal of the American College of Cardiology. 2015;66(1):1-11. https://doi.org/10.1016/j.jacc.2015.04.058