Circulation. 2009;120:1843-1844
doi: 10.1161/CIRCULATIONAHA.109.192659
(Circulation. 2009;120:1843-1844.)
© 2009 American Heart Association, Inc.
Clinical Summaries
An extract of the first 250 words of the full text is provided, because this article has no abstract.
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Anthropometry, Body Fat, and Venous Thromboembolism: A Danish Follow-Up Study
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The distribution of body fat predicts the risk of coronary heart
disease, and central obesity consistently has been shown to
be a risk factor for coronary heart disease, whereas peripheral
obesity (measured as high hip circumference) appears to protect
against coronary heart disease. The importance of fat distribution
with regard to the risk of venous thromboembolism (VTE), ie,
deep venous thrombosis and pulmonary embolism, has not been
evaluated. In a 10-year follow-up study of 56 014 middle-aged
men and women, which included 641 verified incident events of
VTE, we evaluated the risk of VTE according to different measurements
of fat distribution in the body. Our results show that all measurements
of obesity are positively associated with VTE in both sexes.
We also showed that a higher hip circumference in normal-weight
persons was associated with a higher risk for VTE, which is
in contrast to studies on coronary heart disease. We found statistically
significant positive associations between idiopathic (unprovoked)
VTE and all measurements of obesity. The associations between
VTE and the anthropometric measurements persisted after adjustment
for hypertension, diabetes mellitus, or hypercholesterolemia,
which shows that the effect of obesity was not mediated solely
by these factors. See p 1850.
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Cardiac Resynchronization Induces Major Structural and Functional Reverse Remodeling in Patients With New York Heart Association Class I/II Heart Failure
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Cardiac resynchronization therapy (CRT) has proved efficacious
in New York Heart Association (NYHA) class III/IV heart failure
(HF). This key echocardiographic study assessed the impact of
CRT on structural and functional reverse remodeling in patients
with NYHA class I/II HF. The REsynchronization reVErses Remodeling
in Systolic left vEntricular dysfunction (REVERSE) trial
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