| Autor: |
Chantal ElAmm, Michael Zacharias, Raul Angel Garcia, Yasir Abu-Omar, Kathir Balakumaran, Babbaljeet Kaur, Safwan Gaznabi |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Journal of Cardiac Failure. 26:S115-S116 |
| ISSN: |
1071-9164 |
| DOI: |
10.1016/j.cardfail.2020.09.334 |
| Popis: |
Introduction The prevalence of morbid obesity and heart failure have been steadily increasing in recent decades. Symptoms of heart failure are often masked by and/or attributed to exercise intolerance from morbid obesity. This portends a poor prognosis for the patient given their risk of mortality and cardiac complications. Bariatric surgery is an option for significant weight reduction in those patients who meet eligibility. Patients that benefit from such weight loss interventions report a significant improvement in degree of physical condition, however it is unclear if that is entirely due to the weight loss itself or improvement of various comorbidities, including but not limited to LVEF. We sought to explore this hypothesis by analyzing our morbidly obese population with LVEF Methods A retrospective single center analysis of all patients in the dedicated Obesity Clinic at a single academic center were examined, identifying all patients with LVEF Results Between 2010 and 2019, there were 191 patients with a history of morbid obesity and heart failure referred to the Obesity Clinic for bariatric surgery (Figure 1). Of this group, 58 patients (30%) had an LVEF Conclusions In our study, there was a 54% rate of LVEF recovery after significant weight reduction following bariatric surgery. As such, patients with morbid obesity who have a history of left ventricular systolic dysfunction should aggressively be considered for bariatric surgery as a means to potentially improve their cardiac function. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect