TY - JOUR
T1 - Determination of Left Ventricular Mass by Echocardiography in a Normal Population
T2 - Effect of Age and Sex in Addition to Body Size
AU - SHUB, CLARENCE
AU - KLEIN, ALLAN L.
AU - ZACHARIAH, PRINCE K.
AU - BAILEY, KENT R.
AU - TAJIK, A. JAMIL
PY - 1994
Y1 - 1994
N2 - In this study, we determined the effect of age, sex, and body size on left ventricular mass. Two-dimensional-guided M-mode echocardiography was used in an assessment of 111 healthy, normal adults. Left ventricular mass was calculated with the cube function formula corrected by a regression equation to agree with autopsy estimates of left ventricular mass. Calculated left ventricular mass, indexed by body surface area and by height, was analyzed on the basis of sex and age of the study participants. Age was analyzed as a dichotomous, trichotomous, and continuous variable. The effects of age, sex, and obesity, as well as interactions, were tested within a multiple linear regression model framework. Left ventricular mass, when indexed for either body surface area or height, was greater in men than in women. For women, but not men, we found a small but significant increase in left ventricular mass with advancing age. Body mass index, an indicator of obesity, increased with aging in women but not in men and affected left ventricular mass. No significant changes were noted in left ventricular cavity size with advancing age, and the increase in left ventricular mass in women was due to increased ventricular wall thickness. The findings in this study suggest that left ventricular mass, as assessed by two-dimensional-guided M-mode echocardiography, is affected not only by sex and body size but also by age in women. This phenomenon may be related to an increase in body mass index with advancing age in women. In clinical studies that use echocardiographic left ventricular mass to diagnose left ventricular hypertrophy, these observations should be considered.
AB - In this study, we determined the effect of age, sex, and body size on left ventricular mass. Two-dimensional-guided M-mode echocardiography was used in an assessment of 111 healthy, normal adults. Left ventricular mass was calculated with the cube function formula corrected by a regression equation to agree with autopsy estimates of left ventricular mass. Calculated left ventricular mass, indexed by body surface area and by height, was analyzed on the basis of sex and age of the study participants. Age was analyzed as a dichotomous, trichotomous, and continuous variable. The effects of age, sex, and obesity, as well as interactions, were tested within a multiple linear regression model framework. Left ventricular mass, when indexed for either body surface area or height, was greater in men than in women. For women, but not men, we found a small but significant increase in left ventricular mass with advancing age. Body mass index, an indicator of obesity, increased with aging in women but not in men and affected left ventricular mass. No significant changes were noted in left ventricular cavity size with advancing age, and the increase in left ventricular mass in women was due to increased ventricular wall thickness. The findings in this study suggest that left ventricular mass, as assessed by two-dimensional-guided M-mode echocardiography, is affected not only by sex and body size but also by age in women. This phenomenon may be related to an increase in body mass index with advancing age in women. In clinical studies that use echocardiographic left ventricular mass to diagnose left ventricular hypertrophy, these observations should be considered.
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U2 - 10.1016/S0025-6196(12)61058-1
DO - 10.1016/S0025-6196(12)61058-1
M3 - Article
C2 - 8133657
AN - SCOPUS:0028328777
SN - 0025-6196
VL - 69
SP - 205
EP - 211
JO - Mayo Clinic proceedings
JF - Mayo Clinic proceedings
IS - 3
ER -