Electrocardiogram in an obese patient with chronic obstructive pulmonary disease

Authors

  • Luis M. de la Torre Fonseca Universidad de Ciencias Medicas de la Habana Hospital Clínico Quirúrgico Docente Manuel Fajardo https://orcid.org/0000-0002-1694-6920
  • Héctor Á. Plaza Roque
  • Yassel Arias Otamendy
  • Geordan Goire Guevara
  • Wendy Castañeta Palmer

Abstract

In the present century, obesity has been considered by the scientific community as a real health problem worldwide. The electrocardiogram represents a useful diagnostic tool for the evaluation and prognosis of obese patients. We present the case of a 65-year-old obese woman, an inveterate smoker, with a history of high blood pressure since adolescence, without regular treatment, who was admitted to the intensive care unit for severe community-acquired pneumonia and chronic obstructive pulmonary disease.

 

Downloads

Download data is not yet available.

Author Biography

Luis M. de la Torre Fonseca, Universidad de Ciencias Medicas de la Habana Hospital Clínico Quirúrgico Docente Manuel Fajardo

Especialista de I Grado en Cardiología. Unidad de Cuidados Intensivos. Hospital Universitario Manuel Fajardo.

References

1. Organización Mundial de la Salud (OMS). Obesidad 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 population-based measurement studies with 19·2 million participants. Lancet. 2016;387(10026):1377-96. DOI: https://doi.org/10.1016/s0140-6736(16)30054-x

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: https://doi.org/10.1001/jama.2016.6458

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: https://doi.org/10.1161/circulationaha.109.192575

5. American College of Cardiology/American Heart Association Task Force on Practice Guidelines, Obesity Expert Panel, 2013. Executive summary: Guidelines (2013) for the management of overweight 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 Practice Guidelines. Based on a systematic review from the The Obesity Expert Panel, 2013. Obesity (Silver Spring). 2014;22(Suppl 2):S5-39. DOI: https://doi.org/10.1002/oby.20821

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: https://doi.org/10.1210/jc.2011-3475

7. Bluher M. The distinction of metabolically “healthy” from “unhealthy” obese individuals. Curr Opin Lipidol. 2010;21(1):38-43. DOI: https://doi.org/10.1097/MOL.0b013e3283346ccc

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: https://doi.org/10.1016/j.hipert.2011.05.003

9. Rabec C, Ramos de Lucas P, Veale D. Complicaciones respiratorias de la obesidad. Arch Bronconeumol. 2011;47(5):252-61. DOI: https://doi.org/10.1016/j.arbres.2011.01.012

10. Levy D, Labib SB, Anderson KM, Christiansen JC, Kannel WB, Castelli WP. Determinants of sensitivity and specificity of electrocardiographic criteria for left ventricular hypertrophy. Circulation. 1990;81(3):815-20. DOI: https://doi.org/10.1161/01.cir.81.3.815

11. Horton JD, Sherber HS, Lakatta EG. Distance correction for precordial electrocardiographic voltage in estimating left ventricular mass: an echocardiographic study. Circulation. 1977;55(3):509-12. DOI: https://doi.org/10.1161/01.CIR.55.3.509

12. Rider OJ, Ntusi N, Bull SC, Nethononda R, Ferreira V, Holloway CJ, et al. Improvements in ECG accuracy for diagnosis of left ventricular hypertrophy in obesity. Heart. 2016;102(19):1566-72. DOI: https://doi.org/10.1136/heartjnl-2015-309201

13. Chung EK. Electrocardiography; practical application 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 pulmonary artery pressure and resistance by pulsed Doppler echocardiography. Am J Cardiol. 1987;59(6):662-8. DOI: https://doi.org/10.1016/0002-9149(87)91189-1

15. Juanatey-González JR, Cea-Calvo L, Bertomeu V, Aznar J. Criterios electrocardiográficos de hipertrofia ventricular izquierda y perfil de riesgo cardiovascular en hipertensos. Estudio VIIDA. Rev Esp Cardiol. 2007;60(2):148-56. DOI: https://doi.org/10.1157/13099461

16. Okin PM, Roman MJ, Devereux RB, Kligfield P. Electrocardiographic identification of left ventricular hypertrophy: test performance in relation to definition of hypertrophy and presence of obesity. J Am Coll Cardiol. 1996;27(1):124-31. DOI: https://doi.org/10.1016/0735-1097(95)00421-1

17. de Simone G, Devereux RB, Roman MJ, Alderman MH, Laragh JH. Relation of obesity and gender to left ventricular hypertrophy in normotensive and hypertensive adults. Hypertension. 1994;23(5):600-6. DOI: https://doi.org/10.1161/01.hyp.23.5.600

18. Frank S, Colliver JA, Frank A. The electrocardiogram in obesity: statistical analysis of 1,029 patients. J Am Coll Cardiol. 1986;7(2):295-9. DOI: https://doi.org/10.1016/s0735-1097(86)80494-6

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: https://doi.org/10.1378/chest.60.4.328

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: https://doi.org/10.1161/01.cir.99.12.1600

Downloads

Published

2022-07-31

How to Cite

1.
de la Torre Fonseca LM, Plaza Roque H Á., Arias Otamendy Y, Goire Guevara G, Castañeta Palmer W. Electrocardiogram in an obese patient with chronic obstructive pulmonary disease. CorSalud [Internet]. 2022 Jul. 31 [cited 2025 Jun. 21];14(2):220224. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/703

Issue

Vol. 14 No. 2 (2022)

Section

CASE REPORTS

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
    2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.