Prognostic Value of Normal Stress Echocardiography in Obese Patients

Michele Murphy, Siva Krothapalli, Jose Cuellar, Somsupha Kanjanauthai, Brian Heeke, Pallavi S. Gomadam, Avirup Guha, Vernon A. Barnes, Sheldon E. Litwin, Gyanendra K. Sharma

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background. Chest pain is a common problem in obese patients. Because of the body habitus, the results of noninvasive evaluation for CAD may be limited in this group. Methods. We reviewed the records of 1446 consecutive patients who had undergone clinically indicated stress echocardiography (SE). We compared major adverse cardiac events (MACE; myocardial infarction, cardiac intervention, cardiac death, subsequent hospitalization for cardiac events, and emergency department visits) at 1 year in normal weight, overweight, and obese subjects with normal SE. Results. Excluding patients with an abnormal and indeterminate SE and those who were lost to follow-up, a retrospective analysis of 704 patients was performed. There were 366 obese patients (BMI ≥ 30), 196 overweight patients (BMI 25-29.9), and 142 patients with normal BMI (18.5-24.9). There was no MACE in the groups at 1-year follow-up after a normal SE. Conclusions. In obese patients including those with multiple risk factors and symptoms concerning for cardiac ischemia, stress echocardiography is an effective and reliable noninvasive tool for identifying those with a low 1-year risk of cardiac events.

Original languageEnglish (US)
Article number419724
JournalJournal of Obesity
Volume2014
DOIs
StatePublished - Jan 1 2014

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Stress Echocardiography
Reference Values
Lost to Follow-Up
Chest Pain
Hospital Emergency Service
Hospitalization
Ischemia
Myocardial Infarction
Weights and Measures

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

Cite this

Murphy, M., Krothapalli, S., Cuellar, J., Kanjanauthai, S., Heeke, B., Gomadam, P. S., ... Sharma, G. K. (2014). Prognostic Value of Normal Stress Echocardiography in Obese Patients. Journal of Obesity, 2014, [419724]. https://doi.org/10.1155/2014/419724

Prognostic Value of Normal Stress Echocardiography in Obese Patients. / Murphy, Michele; Krothapalli, Siva; Cuellar, Jose; Kanjanauthai, Somsupha; Heeke, Brian; Gomadam, Pallavi S.; Guha, Avirup; Barnes, Vernon A.; Litwin, Sheldon E.; Sharma, Gyanendra K.

In: Journal of Obesity, Vol. 2014, 419724, 01.01.2014.

Research output: Contribution to journalArticle

Murphy, M, Krothapalli, S, Cuellar, J, Kanjanauthai, S, Heeke, B, Gomadam, PS, Guha, A, Barnes, VA, Litwin, SE & Sharma, GK 2014, 'Prognostic Value of Normal Stress Echocardiography in Obese Patients', Journal of Obesity, vol. 2014, 419724. https://doi.org/10.1155/2014/419724
Murphy M, Krothapalli S, Cuellar J, Kanjanauthai S, Heeke B, Gomadam PS et al. Prognostic Value of Normal Stress Echocardiography in Obese Patients. Journal of Obesity. 2014 Jan 1;2014. 419724. https://doi.org/10.1155/2014/419724
Murphy, Michele ; Krothapalli, Siva ; Cuellar, Jose ; Kanjanauthai, Somsupha ; Heeke, Brian ; Gomadam, Pallavi S. ; Guha, Avirup ; Barnes, Vernon A. ; Litwin, Sheldon E. ; Sharma, Gyanendra K. / Prognostic Value of Normal Stress Echocardiography in Obese Patients. In: Journal of Obesity. 2014 ; Vol. 2014.
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