Efficacy of bariatric intervention as a bridge to cardiac transplant.
Bariatric surgery
Cardiac transplantation
Heart failure
Impella
LVAD
Left ventricular assist device
Journal
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
ISSN: 1878-7533
Titre abrégé: Surg Obes Relat Dis
Pays: United States
ID NLM: 101233161
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
27
02
2023
revised:
19
04
2023
accepted:
14
05
2023
pubmed:
1
7
2023
medline:
1
7
2023
entrez:
30
6
2023
Statut:
ppublish
Résumé
Many patients with heart failure (HF) are denied cardiac transplants due to inability to meet transplantation body mass index (BMI) criteria. Bariatric intervention, including surgery, medication, and weight loss guidance, may help patients lose weight and become eligible for transplantation. We aim to contribute to the literature on the safety and efficacy of bariatric intervention on patients with obesity and HF who are awaiting cardiac transplantation. University hospital, United States. This was a mixed retrospective/prospective study. Eighteen patients with HF and BMI >35 kg/m No patients were lost to follow-up. Bariatric surgery led to statistically significant decreases in weight and BMI when compared with nonsurgical patients. At 6 months after intervention, surgical patients lost an average of 18.6 kg and decreased their BMI by 6.4 kg/m Our study suggests that bariatric intervention among patients with HF and obesity is a safe and effective method of weight and BMI reduction.
Sections du résumé
BACKGROUND
BACKGROUND
Many patients with heart failure (HF) are denied cardiac transplants due to inability to meet transplantation body mass index (BMI) criteria. Bariatric intervention, including surgery, medication, and weight loss guidance, may help patients lose weight and become eligible for transplantation.
OBJECTIVE
OBJECTIVE
We aim to contribute to the literature on the safety and efficacy of bariatric intervention on patients with obesity and HF who are awaiting cardiac transplantation.
SETTING
METHODS
University hospital, United States.
METHODS
METHODS
This was a mixed retrospective/prospective study. Eighteen patients with HF and BMI >35 kg/m
RESULTS
RESULTS
No patients were lost to follow-up. Bariatric surgery led to statistically significant decreases in weight and BMI when compared with nonsurgical patients. At 6 months after intervention, surgical patients lost an average of 18.6 kg and decreased their BMI by 6.4 kg/m
CONCLUSION
CONCLUSIONS
Our study suggests that bariatric intervention among patients with HF and obesity is a safe and effective method of weight and BMI reduction.
Identifiants
pubmed: 37391350
pii: S1550-7289(23)00526-9
doi: 10.1016/j.soard.2023.05.013
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1296-1301Informations de copyright
Copyright © 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.