Table 1

Clinical characteristics

 Obesity (n = 18)Overweight or normal BMI (n = 59)P-value
Age, years32.7 (29.5; 37.1)31.5 (23.7; 37.2)0.36
Body mass index, kg/m236.4 ± 3.324.1 ± 3.6
Ideal weight, kg71.8 (55.4; 78.0)67.8 ± 12.70.92
Estimated plasma volume, mL3178 ± 3992309 ± 363<0.001
Female sex8 (44.4%)23 (39.0%)0.79
Patent fenestration4 (22.2%)8 (13.6%)0.46
NYHA classes III or IV8 (44.4%)20 (33.9%)0.42
Hypertension1 (5.6%)6 (10.2%)0.99
Diabetes2 (11.1%)2 (3.4%)0.23
Pacemaker1 (5.6%)30 (50.8%)<0.001
History of atrial arrhythmias10 (55.6%)28 (47.5%)0.60
Creatinine clearance <60 mL/min05 (8.5%)0.59
Symptoms
 Dyspnoea12 (66.7%)37 (62.7%)0.99
 Fatigue12 (66.7%)24 (40.7%)0.06
 Oedema8 (44.4%)22 (37.3%)0.59
Medications
 Diuretics9 (50%)30 (50.8%)0.99
 Beta-blocker8 (44.4%)19 (32.2%)0.40
 ACEi/ARB11 (61.1%)32 (54.2%)0.79
 Aldosterone antagonist5 (27.8%)19 (32.2%)0.78
 Digitalis09 (15.3%)0.11
 Antiarrhythmic agent7 (38.9%)15 (25.4%)0.37
 Phosphodiesterase type 5 inhibitor7 (38.9%)13 (22.0%)0.22
Laboratory/imaging
 NT-pro-BNP, pg/mL183 (125.5; 573.5)322 (148.5; 633.5)0.78
 MELD-XI9.4 (9.4; 12.7)10.6 (9.4; 12.4)0.53
 APRI0.4 (0.3; 0.6)0.4 (0.3; 0.6)0.49
 Spleen size, mm14.0 ± 2.013.3 ± 2.60.15
Echocardiography
 Ventricular ejection fraction, %53.8 (50; 57.5)52.5 (45; 57.5%)0.63
 ≥moderate AV regurgitation1 (5.6%)13 (22.0%)0.17
Non-invasive cardiopulmonary exercise test
 Respiratory exchange ratio1.08 ± 0.11.15 ± 0.10.07
 Peak VO2, mL/min1713 ± 5391391 (1171; 1718)0.15
 Minimal O2 saturation by pulse oximetry, %90 (83; 92)91 (86; 94)0.72
 Peak VO2, mL/kg/min15.5 ± 3.519.9 ± 5.80.03
 Peak VO2, % of predicted41.6 ± 10.949.6 ± 13.20.07
 VE/VCO2 nadir33.7 ± 6.033.7 ± 5.80.99
 Peak ventilation, % predicted50.2 ± 11.546.4 ± 16.70.33
 Obesity (n = 18)Overweight or normal BMI (n = 59)P-value
Age, years32.7 (29.5; 37.1)31.5 (23.7; 37.2)0.36
Body mass index, kg/m236.4 ± 3.324.1 ± 3.6
Ideal weight, kg71.8 (55.4; 78.0)67.8 ± 12.70.92
Estimated plasma volume, mL3178 ± 3992309 ± 363<0.001
Female sex8 (44.4%)23 (39.0%)0.79
Patent fenestration4 (22.2%)8 (13.6%)0.46
NYHA classes III or IV8 (44.4%)20 (33.9%)0.42
Hypertension1 (5.6%)6 (10.2%)0.99
Diabetes2 (11.1%)2 (3.4%)0.23
Pacemaker1 (5.6%)30 (50.8%)<0.001
History of atrial arrhythmias10 (55.6%)28 (47.5%)0.60
Creatinine clearance <60 mL/min05 (8.5%)0.59
Symptoms
 Dyspnoea12 (66.7%)37 (62.7%)0.99
 Fatigue12 (66.7%)24 (40.7%)0.06
 Oedema8 (44.4%)22 (37.3%)0.59
Medications
 Diuretics9 (50%)30 (50.8%)0.99
 Beta-blocker8 (44.4%)19 (32.2%)0.40
 ACEi/ARB11 (61.1%)32 (54.2%)0.79
 Aldosterone antagonist5 (27.8%)19 (32.2%)0.78
 Digitalis09 (15.3%)0.11
 Antiarrhythmic agent7 (38.9%)15 (25.4%)0.37
 Phosphodiesterase type 5 inhibitor7 (38.9%)13 (22.0%)0.22
Laboratory/imaging
 NT-pro-BNP, pg/mL183 (125.5; 573.5)322 (148.5; 633.5)0.78
 MELD-XI9.4 (9.4; 12.7)10.6 (9.4; 12.4)0.53
 APRI0.4 (0.3; 0.6)0.4 (0.3; 0.6)0.49
 Spleen size, mm14.0 ± 2.013.3 ± 2.60.15
Echocardiography
 Ventricular ejection fraction, %53.8 (50; 57.5)52.5 (45; 57.5%)0.63
 ≥moderate AV regurgitation1 (5.6%)13 (22.0%)0.17
Non-invasive cardiopulmonary exercise test
 Respiratory exchange ratio1.08 ± 0.11.15 ± 0.10.07
 Peak VO2, mL/min1713 ± 5391391 (1171; 1718)0.15
 Minimal O2 saturation by pulse oximetry, %90 (83; 92)91 (86; 94)0.72
 Peak VO2, mL/kg/min15.5 ± 3.519.9 ± 5.80.03
 Peak VO2, % of predicted41.6 ± 10.949.6 ± 13.20.07
 VE/VCO2 nadir33.7 ± 6.033.7 ± 5.80.99
 Peak ventilation, % predicted50.2 ± 11.546.4 ± 16.70.33

ACEi/ARB, angiotensin-converting enzyme inhibitor/angiotensin receptor blocker; APRI, aspartate aminotransferase to platelet ratio index; AV, atrioventricular valve; MELD-XI, model for end-stage liver disease excluding international normalized ratio; NT-pro-BNP, N-terminal pro-brain natriuretic peptide; NYHA, New York Heart Association; VE, minute ventilation; VO2, oxygen consumption; VCO2, carbon dioxide output.

Values in bold indicate statistical significance (defined as P-value <0.05).

Table 1

Clinical characteristics

 Obesity (n = 18)Overweight or normal BMI (n = 59)P-value
Age, years32.7 (29.5; 37.1)31.5 (23.7; 37.2)0.36
Body mass index, kg/m236.4 ± 3.324.1 ± 3.6
Ideal weight, kg71.8 (55.4; 78.0)67.8 ± 12.70.92
Estimated plasma volume, mL3178 ± 3992309 ± 363<0.001
Female sex8 (44.4%)23 (39.0%)0.79
Patent fenestration4 (22.2%)8 (13.6%)0.46
NYHA classes III or IV8 (44.4%)20 (33.9%)0.42
Hypertension1 (5.6%)6 (10.2%)0.99
Diabetes2 (11.1%)2 (3.4%)0.23
Pacemaker1 (5.6%)30 (50.8%)<0.001
History of atrial arrhythmias10 (55.6%)28 (47.5%)0.60
Creatinine clearance <60 mL/min05 (8.5%)0.59
Symptoms
 Dyspnoea12 (66.7%)37 (62.7%)0.99
 Fatigue12 (66.7%)24 (40.7%)0.06
 Oedema8 (44.4%)22 (37.3%)0.59
Medications
 Diuretics9 (50%)30 (50.8%)0.99
 Beta-blocker8 (44.4%)19 (32.2%)0.40
 ACEi/ARB11 (61.1%)32 (54.2%)0.79
 Aldosterone antagonist5 (27.8%)19 (32.2%)0.78
 Digitalis09 (15.3%)0.11
 Antiarrhythmic agent7 (38.9%)15 (25.4%)0.37
 Phosphodiesterase type 5 inhibitor7 (38.9%)13 (22.0%)0.22
Laboratory/imaging
 NT-pro-BNP, pg/mL183 (125.5; 573.5)322 (148.5; 633.5)0.78
 MELD-XI9.4 (9.4; 12.7)10.6 (9.4; 12.4)0.53
 APRI0.4 (0.3; 0.6)0.4 (0.3; 0.6)0.49
 Spleen size, mm14.0 ± 2.013.3 ± 2.60.15
Echocardiography
 Ventricular ejection fraction, %53.8 (50; 57.5)52.5 (45; 57.5%)0.63
 ≥moderate AV regurgitation1 (5.6%)13 (22.0%)0.17
Non-invasive cardiopulmonary exercise test
 Respiratory exchange ratio1.08 ± 0.11.15 ± 0.10.07
 Peak VO2, mL/min1713 ± 5391391 (1171; 1718)0.15
 Minimal O2 saturation by pulse oximetry, %90 (83; 92)91 (86; 94)0.72
 Peak VO2, mL/kg/min15.5 ± 3.519.9 ± 5.80.03
 Peak VO2, % of predicted41.6 ± 10.949.6 ± 13.20.07
 VE/VCO2 nadir33.7 ± 6.033.7 ± 5.80.99
 Peak ventilation, % predicted50.2 ± 11.546.4 ± 16.70.33
 Obesity (n = 18)Overweight or normal BMI (n = 59)P-value
Age, years32.7 (29.5; 37.1)31.5 (23.7; 37.2)0.36
Body mass index, kg/m236.4 ± 3.324.1 ± 3.6
Ideal weight, kg71.8 (55.4; 78.0)67.8 ± 12.70.92
Estimated plasma volume, mL3178 ± 3992309 ± 363<0.001
Female sex8 (44.4%)23 (39.0%)0.79
Patent fenestration4 (22.2%)8 (13.6%)0.46
NYHA classes III or IV8 (44.4%)20 (33.9%)0.42
Hypertension1 (5.6%)6 (10.2%)0.99
Diabetes2 (11.1%)2 (3.4%)0.23
Pacemaker1 (5.6%)30 (50.8%)<0.001
History of atrial arrhythmias10 (55.6%)28 (47.5%)0.60
Creatinine clearance <60 mL/min05 (8.5%)0.59
Symptoms
 Dyspnoea12 (66.7%)37 (62.7%)0.99
 Fatigue12 (66.7%)24 (40.7%)0.06
 Oedema8 (44.4%)22 (37.3%)0.59
Medications
 Diuretics9 (50%)30 (50.8%)0.99
 Beta-blocker8 (44.4%)19 (32.2%)0.40
 ACEi/ARB11 (61.1%)32 (54.2%)0.79
 Aldosterone antagonist5 (27.8%)19 (32.2%)0.78
 Digitalis09 (15.3%)0.11
 Antiarrhythmic agent7 (38.9%)15 (25.4%)0.37
 Phosphodiesterase type 5 inhibitor7 (38.9%)13 (22.0%)0.22
Laboratory/imaging
 NT-pro-BNP, pg/mL183 (125.5; 573.5)322 (148.5; 633.5)0.78
 MELD-XI9.4 (9.4; 12.7)10.6 (9.4; 12.4)0.53
 APRI0.4 (0.3; 0.6)0.4 (0.3; 0.6)0.49
 Spleen size, mm14.0 ± 2.013.3 ± 2.60.15
Echocardiography
 Ventricular ejection fraction, %53.8 (50; 57.5)52.5 (45; 57.5%)0.63
 ≥moderate AV regurgitation1 (5.6%)13 (22.0%)0.17
Non-invasive cardiopulmonary exercise test
 Respiratory exchange ratio1.08 ± 0.11.15 ± 0.10.07
 Peak VO2, mL/min1713 ± 5391391 (1171; 1718)0.15
 Minimal O2 saturation by pulse oximetry, %90 (83; 92)91 (86; 94)0.72
 Peak VO2, mL/kg/min15.5 ± 3.519.9 ± 5.80.03
 Peak VO2, % of predicted41.6 ± 10.949.6 ± 13.20.07
 VE/VCO2 nadir33.7 ± 6.033.7 ± 5.80.99
 Peak ventilation, % predicted50.2 ± 11.546.4 ± 16.70.33

ACEi/ARB, angiotensin-converting enzyme inhibitor/angiotensin receptor blocker; APRI, aspartate aminotransferase to platelet ratio index; AV, atrioventricular valve; MELD-XI, model for end-stage liver disease excluding international normalized ratio; NT-pro-BNP, N-terminal pro-brain natriuretic peptide; NYHA, New York Heart Association; VE, minute ventilation; VO2, oxygen consumption; VCO2, carbon dioxide output.

Values in bold indicate statistical significance (defined as P-value <0.05).

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