Bariatric Surgery in Patients with Severe Heart Failure
| Autor: | Paul Burton, Arul Earnest, Wendy A. Brown, Yazmin Johari, Tze Wei Wilson Yang, James L Hare, Kalai Shaw |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Cardiac function curve Sleeve gastrectomy medicine.medical_specialty Endocrinology Diabetes and Metabolism medicine.medical_treatment Bariatric Surgery 030209 endocrinology & metabolism Ventricular Function Left Body Mass Index 03 medical and health sciences 0302 clinical medicine Gastrectomy Weight loss medicine Humans Retrospective Studies Heart Failure Nutrition and Dietetics Ejection fraction business.industry Stroke Volume Retrospective cohort study Atrial fibrillation Middle Aged medicine.disease Obesity Morbid Surgery Transplantation Treatment Outcome Heart failure Female 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Obesity Surgery. 30:2863-2869 |
| ISSN: | 1708-0428 0960-8923 |
| DOI: | 10.1007/s11695-020-04612-2 |
| Popis: | Obesity and cardiac failure are globally endemic and increasingly intersecting. Bariatric surgery may improve cardiac function and act as a bridge-to-transplantation. We aim to identify effects of bariatric surgery on severe heart failure patients and ascertain its role regarding cardiac transplantation. A retrospective study of a prospectively collected database identified heart failure patients who underwent bariatric surgery between 1 January 2008 and 31 December 2017. Patients were followed up 12 months post-operatively. Cardiac investigations, functional capacity, cardiac transplant candidacy, morbidity and length of stay were recorded. Twenty-one patients (15 males, 6 females), mean age 48.7 ± 10, BMI 46.2 kg/m2 (37.7–85.3) underwent surgery (gastric band (18), sleeve gastrectomy (2), biliopancreatic diversion (1)). There were no loss to follow-up. There was significant weight loss of 26.0 kg (5.0–78.5, p |
| Databáze: | OpenAIRE |
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