Dr Hafiza Tarum Naveed, Dr Romana Arif, Dr Muhammad Imran
Objective: The aim of this study was to assessed cardiac functioning through standard Pulsed Wave Doppler and Tissue Doppler Imaging echocardiography in obese adolescents Materials and Methods: We investigated systolic and diastolic dysfunction with the help of cross-sectional research and echocardiographic modalities. Our research included BMI>30 and healthy children including 25 in each group and divided into BMI cases and control healthy groups. A complete CVD assessment, echocardiography and electrocardiography was carried out in every patient. Pulsed Wave Doppler and Tissue Doppler Imaging (TDI) was used in the echocardiography surveys. Data analysis and entry was carried out in the SPSS – 24. Results: Age and sex were matched in both the research groups and high rate of the blood pressure and resting heart was observed in the obese group with a significant p-value as (0.0001) with normal range with similar function of ejection in both the groups. Left ventricular mass (LVM), end diastolic diameter, mass index LV, diameter ratio of atrial to aortic and end diastolic LV diameter were having respectively significant p-values of 0.0001, 0.029, 0.0001 and 0.008. The higher significance presented a dysfunction of diastolic, systolic and cardiomegaly. Diastolic dysfunction can be observed through low variables in case groups except aortic. There was a significant variation in the both categories parameters. We also observed a correlation between BMI and is volumetric relaxation time. Conclusions: There is a relation between the without hypertension obese children and subclinical systolic & diastolic dysfunction. The blood pressure evaluation is proposed including myocardial performance with the help of TDI and PWD in the target population of without hypertension obese children. Keywords: End Diastolic Diameter, Doppler, Left Ventricular Mass, Pediatric Obesity, Echocardiography.