Survival of Overweight Patients After Coronary Artery Bypass Surgery. Does the «Obesity Paradox» Play a Role?

Эфрос, Л. А.; Samorodskaya, I. V.

doi:10.18565/cardio.2015.7.45-50

Cited by 3 publications

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“…12 CABG studies in 60,000 patients found worst survival rates in underweight patients, who had a 2.7-fold higher mortality than patients with normal BMI [32]. But there was a tendency to lower survival among patients with BMI > 35kg/m 2 [33]. Another study observed that there is no significant difference in hospital or follow-up mortality among patients undergoing CABG surgery when modified by BMI, obese patients gained less benefit in terms of QoL dimension, and there was no significant difference in overall mortality in the long-term follow-up [34].…”

Section: Iod000565 3(3)2020mentioning

confidence: 99%

Obesity Paradox in Cardiovascular Diseases and Research Progress

Chen

2020

IOD

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In recent years, clinical evidence suggests that obese and overweight people with established cardiovascular diseases (CVDs) seem to have a better prognosis compared with lean patients. This phenomenon has been described as the 'obesity paradox', but there are also those who disagree with this seemingly deviant view, its existence remains a point of debate. This review tries to summarize the latest research progress of obesity paradox in CVDs and concludes with some explanations for this puzzling phenomenon.

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Section: Iod000565 3(3)2020mentioning

confidence: 99%

Obesity Paradox in Cardiovascular Diseases and Research Progress

Chen

2020

IOD

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“…15,24,25 Faerri rannsóknir hafa litið á langtímaárangur og niðurstöður þeirra sem birst hafa verið misvísandi hvað árangur varðar. [26][27][28][29] Markmið þessarar rannsóknar var því að varpa ljósi á langtímaárangur sjúklinga með mismikla offitu eftir kransaeðahjáveituaðgerð og bera þá saman við sjúklinga í kjörþyngd. Sérstaklega var litið á langtíma fylgikvilla og langtímalifun auk þess sem sjálfstaeðir forspárþaettir langtímalifunar voru metnir.…”

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Engin marktæk tengsl offitu og lifunar eftir kransæðahjáveituaðgerð

Thorkelsdottir

Johannesdottir²,

Arnadottir³

et al. 2019

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Predictors of Long-Term Outcomes after Surgical Myocardial Revascularization

Kaveshnikov

Kuzmichkina

Serebryakova

2023

Racionalʹnaâ farmakoterapiâ v kardiologii

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High mortality from cardiovascular diseases (CVD) requires improved approaches to the treatment of this socially significant pathology. Wide implementation of surgical myocardial revascularization makes it possible to improve significantly both life quality and expectancy in patients with coronary heart disease. The aim of this work was to analyze the literature on the impact of preoperative, operative and postoperative factors on the long-term prognosis after coronary artery bypass grafting (CABG). The review refers to both recent and earlier informative works. The target groups for this article are therapists, cardiologists, rehabilitologists, who work with patients in the short and long term after CABG. Data of Russian and foreign literature show that the long-term prognosis after CABG is largely determined by preoperative factors, in particular – age, set of cardiovascular risk factors (RF) and comorbidity, specifically – severity of coronary and systemic atherosclerosis, incident cardiovascular complications, structural and functional state of the heart. In the aggregate these factors reflect the cumulative effect and further potential of actual cardiovascular RFs, affect longterm risk of adverse events, and determine the therapeutic targets of secondary prevention. Priority of arterial conduits and completeness of revascularization are the main operative factors that determine the course of the long-term period after CABG. Among the postoperative factors, the efficiency of secondary CVD prevention is of paramount importance, in particular – achievement of target RF levels, compensation of cardiac and extracardiac pathology, adherence to the long-term medical therapy, known to improve outcomes based on specific comorbidity. Efficiency of secondary CVD prevention largely depends on patient's health attitudes, the key influence on which beyond attending physician can be provided by participation in rehabilitation programs, teaching patients the meaning and essentials of lifestyle modification and cardiovascular RFs’ control.

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Survival of Overweight Patients After Coronary Artery Bypass Surgery. Does the «Obesity Paradox» Play a Role?

Cited by 3 publications

References 0 publications

Obesity Paradox in Cardiovascular Diseases and Research Progress

Obesity Paradox in Cardiovascular Diseases and Research Progress

Engin marktæk tengsl offitu og lifunar eftir kransæðahjáveituaðgerð

Predictors of Long-Term Outcomes after Surgical Myocardial Revascularization

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