Lipedema is associated with increased aortic stiffness

Gyözö Szolnoky, A. Nemes, H. Gavallér, T. Forster, L. Kemény

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Lipedema is a disproportional obesity due to unknown pathomechanism. Its major hallmark is frequent hematoma formation related to increased capillary fragility and reduced venoarterial reflex. Beyond micro-angiopathy, both venous and lymphatic dysfunction have also been documented. However, arterial circulation in lipedeitia has not been examined, and therefore we explored aortic elastic properties by echocardiography. Fourteen women with and 14 without lipedema were included in the study. Each subject consented to blood pressure measurement, physical examination, and transthoracic echocardiography. Aortic stiffness index (β), distensibility, and strain were evaluated from aortic diameter and blood pressure data. Mean systolic (30.0 ± 3.2 vs. 25.5 ± 3.6, P<0.05) and diastolic (27.8 ± 3.3 vs. 22.3 ±3.1) aortic diameters (in mm) and aortic stiffness index (9.05 ± 7.45 vs. 3.76 ± 1.22, P<0.05) were significantly higher, while aortic strain (0.082 ± 0.04 vs. 0.143 ± 0.038, P<0.05) and distensibility (2.24 ± 1.07 vs. 4.38 ± 1.61, P<0.05) were significantly lower in lipedema- Tous patients compared to controls. Thus, lipedema is characterized with increased aortic stiffness.

Original languageEnglish
Pages (from-to)71-79
Number of pages9
JournalLymphology
Volume45
Issue number2
Publication statusPublished - Jun 1 2012

Keywords

  • Aortic stilfnes
  • Blood pressure
  • Echocardiography
  • Lipedema

ASJC Scopus subject areas

  • Immunology and Allergy
  • Hematology

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    Szolnoky, G., Nemes, A., Gavallér, H., Forster, T., & Kemény, L. (2012). Lipedema is associated with increased aortic stiffness. Lymphology, 45(2), 71-79.