de la Torre FLM, Plaza RHÁ, Arias OY, Goire GG, Castañeta PWG

Idioma: Español
Referencias bibliográficas: 20
Paginas: 220-224
Archivo PDF: 237.33 Kb.

RESUMEN

La obesidad en el presente siglo ha sido considerada por la comunidad científica como un verdadero problema de salud en la población mundial. El electrocardio-grama constituye una herramienta diagnóstica útil para la evaluación y pronóstico de pacientes obesos. Se presenta el caso de una mujer de 65 años de edad, obesa, fumadora inveterada, con antecedentes de hipertensión arterial desde la adoles-cencia, sin tratamiento regular, que fue ingresada en la unidad de terapia intensiva por neumonía grave de la comunidad y enfermedad pulmonar obstructiva cróni-ca.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Organización Mundial de la Salud (OMS). Obesi-dad y sobrepeso [Internet]. Ginebra: OMS [citado 21 Nov 2020]; 2016. Disponible en:https://www. who. int/es/news-room/fact-sheets/detail/obesity-and-overweight

2. NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 popu-lation-based measurement studies with 19·2 mil-lion participants. Lancet. 2016;387(10026):1377-96. [DOI]

3. Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in Obesity Among Adults in the United States, 2005 to 2014. JAMA. 2016; 315(21):2284-91. [DOI]

4. Poirier P, Alpert MA, Fleisher LA, Thompson PD, Sugerman HJ, Burke LE, et al. Cardiovascular evaluation and management of severely obese patients undergoing surgery: a science advisory from the American Heart Association. Circulation. 2009;120(1):86-95. [DOI]

5. American College of Cardiology/American HeartAssociation Task Force on Practice Guidelines, Obesity Expert Panel, 2013. Executive summary: Guidelines (2013) for the management of over-weight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Obesity Society published by the Obesity Society and American College of Cardiology/ American Heart Association Task Force on Prac-tice Guidelines. Based on a systematic review from the The Obesity Expert Panel, 2013. Obesity (Silver Spring). 2014;22(Suppl 2):S5-39. [DOI]

6. Hamer M, Stamatakis E. Metabolically healthy obesity and risk of all-cause and cardiovascular disease mortality. J Clin Endocrinol Metab. 2012; 97(7):2482-8. [DOI]

7. Bluher M. The distinction of metabolically “health-y” from “unhealthy” obese individuals. Curr Opin Lipidol. 2010;21(1):38-43. [DOI]

8. Division Garrote JA, Alonso Moreno FJ, Prieto MA, Rama Martinez T, Dura Belinchon R, Beato Fernandez P, et al. Prevalencia de obesidad en hipertensos y su influencia en el grado de control de la presión arterial. Hipertens Riesgo Vasc. 2011; 28(3):91-8. [DOI]

9. Rabec C, Ramos de Lucas P, Veale D. Complica-ciones respiratorias de la obesidad. Arch Bron-coneumol. 2011;47(5):252-61. [DOI]

10. Levy D, Labib SB, Anderson KM, Christiansen JC, Kannel WB, Castelli WP. Determinants of sensitiv-ity and specificity of electrocardiographic criteria for left ventricular hypertrophy. Circulation. 1990; 81(3):815-20. [DOI]

11. Horton JD, Sherber HS, Lakatta EG. Distance cor-rection for precordial electrocardiographic volt-age in estimating left ventricular mass: an echo-cardiographic study. Circulation. 1977;55(3):509-12. [DOI]

12. Rider OJ, Ntusi N, Bull SC, Nethononda R, Fer-reira V, Holloway CJ, et al. Improvements in ECG accuracy for diagnosis of left ventricular hyper-trophy in obesity. Heart. 2016;102(19):1566-72. [DOI]

13. Chung EK. Electrocardiography; practical applica-tion with vectorial principles. 2nd ed. New York: Harper & Row. 1980. p. 631-2.

14. Dabestani A, Mahan G, Gardin JM, Takenaka K, Burn C, Allfie A, Henry WL. Evaluation of pulmo-nary artery pressure and resistance by pulsed Doppler echocardiography. Am J Cardiol. 1987; 59(6):662-8. [DOI]

15. Juanatey-González JR, Cea-Calvo L, Bertomeu V Aznar J. Criterios electrocardiográficos de hiper-trofia ventricular izquierda y perfil de riesgo car-diovascular en hipertensos. Estudio VIIDA. Rev Esp Cardiol. 2007;60(2):148-56. [DOI]

16. Okin PM, Roman MJ, Devereux RB, Kligfield P. Electrocardiographic identification of left ventric-ular hypertrophy: test performance in relation to definition of hypertrophy and presence of obesi-ty. J Am Coll Cardiol. 1996;27(1):124-31. [DOI]

17. de Simone G, Devereux RB, Roman MJ, Alder-man MH, Laragh JH. Relation of obesity and gen-der to left ventricular hypertrophy in normoten-sive and hypertensive adults. Hypertension. 1994;23(5):600-6. [DOI]

18. Frank S, Colliver JA, Frank A. The electrocardio-gram in obesity: statistical analysis of 1,029 pa-tients. J Am Coll Cardiol. 1986;7(2):295-9. [DOI]

19. Shmock CL, Pomerantz B, Mitchell RS, Pryor R, Maisel JC. The electrocardiogram in emphysema with and without chronic airways obstruction. Chest. 1971;60(4):328-34. [DOI]

20. Incalzi RA, Fuso L, De Rosa M, Di Napoli A, Basso S, Pagliari G, et al. Electrocardiographic signs of chronic cor pulmonale: A negative prognostic finding in chronic obstructive pulmonary disease. Circulation. 1999;99(12):1600-5. [DOI]