DOI: https://doi.org/10.22263/2312-4156.2019.5.84
Bondarenko V.M., Pimanov S.I., Makarenko E.V.
Ultrasound diagnosing of local fat deposits in patients with arterial hypertension and ischemic heart disease
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2019;18(5):84-98.
Abstract.
Objectives. To asses the amount of visceral adipose tissue (VAT) of various localization in patients with arterial hypertension (AH) and coronary heart disease (CHD), as well as to determine the boundary values of the studied ultrasound parameters.
Material and methods. 121 subjects were examined, including 34 patients with AH, 34 – with CHD, and 53 persons without any cardiovascular disease, who made up the control group.
Results. Patients with AH and CHD did not differ in age, weight, body mass index and waist circumference from the examined individuals included in the control group. At the same time, ultrasound revealed statistically significant differences in the amount of visceral adipose tissue.
In patients with AH, the thickness of the posterior and anterior perinephral VAT and the area of the lower part of the perinephric VAT on both sides significantly exceeded the similar values in the examined control group and amounted, respectively, to 11.30±5.95 mm, (p=0.014); 9.21±5.44 mm (p<0.001); 27.06±12.68 cm2 (p<0.001) and 28.05±14.17 cm2 (p<0.001).
In patients with CHD, the thickness of the epicardial and pericardial VAT as well as their total value exceeded the ultrasound indices obtained in the control group and made up 4.50±2.33 mm, (p<0.001); 5.17±3.51 mm (p<0.001) and 9.67±3.80 mm (p<0.001), respectively.
The amount of intraabdominal VAT in patients with CHD and AH was increased in comparison with healthy subjects.
The boundary values of the lower part of perinephric VAT area in patients with AH were on the right side > 18.24 cm2 and on the left side > 22.58 cm2. In patients with CHD, the boundary values of pericardial VAT were: the epicardial VAT thickness > 4.0 mm and the pericardial VAT thickness > 2.7 mm.
Conclusions. Thus, in patients with AH, the perinephral VAT amount was increased, and in patients with CHD the pericardial VAT amount was increased, the intraabdominal VAT amount being increased in both groups of the examined subjects compared to healthy individuals.
Key words: ultrasound investigation, epicardial visceral adipose tissue, pericardial visceral adipose tissue, perinephric visceral adipose tissue, arterial hypertension, ischemic heart disease.
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Information about authors:
Bondarenko V.M. – postgraduate of the Chair of Internal Medicine No.2 of the Faculty for Advanced Training & Retraining, senior lecturer of the Chair of Hospital Surgery with the courses of Urology & Pediatric Surgery, Vitebsk State Order of Peoples’ Friendship Medical University;
Pimanov S.I. – Doctor of Medical Sciences, professor, head of the Chair of Internal Medicine No.2 of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University;
Makarenko E.V. – Doctor of Medical Sciences, professor of the Chair of Internal Medicine No.2 of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University.
Correspondence address: Republic of Belarus, 210009, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Internal Medicine No.2 of the Faculty for Advanced Training & Retraining. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Vladimir M. Bondarenko.
