Metabolic surgery in improving arterial health in obese individuals

Copyright © 2023 Elsevier Inc. All rights reserved..

PURPOSE: Arterial stiffness has gained recognition as a stand-alone risk factor for cardiovascular disease (CVD). Obesity is intricately linked to elevated arterial stiffness, the development of left ventricular (LV) hypertrophy, and the emergence of diastolic dysfunction, all of which collectively contribute substantially to an unfavorable prognosis. Weight loss has become a standard recommendation for all patients with CVD concurrent with morbid obesity; however, randomized evidence to support this recommendation was limited earlier. The latest scientific studies revealed dynamic changes in aortic stiffness after substantial weight loss by bariatric surgery, also known as metabolic surgery, in patients with obesity. There is also a favorable evolution in LV hypertrophy and a significant impact on arterial hypertension and other promising cardiovascular outcomes in obese people after bariatric surgery.

METHODS/RESULTS: We aimed to examine the cardiovascular effects of various metabolic surgeries in morbidly obese individuals, especially their role in improving arterial health, the potential impact on surrogate markers of atherosclerotic vascular disease, and consequently reducing the likelihood of cardiovascular events.

CONCLUSION: In conclusion, metabolic surgery is associated with a significant decrease in the occurrence of major adverse cardiovascular events (MACE) and all-cause mortality among obese individuals, alongside remarkable enhancement of arterial health. These findings underscore the critical importance of implementing strategies to combat obesity and reduce adiposity within the general population.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

Current problems in cardiology - 49(2024), 3 vom: 21. Feb., Seite 102359

Sprache:

Englisch

Beteiligte Personen:

Sebastian, Sneha Annie [VerfasserIn]
Co, Edzel Lorraine [VerfasserIn]
Kanagala, Sai Gautham [VerfasserIn]
Padda, Inderbir [VerfasserIn]
Sethi, Yashendra [VerfasserIn]
Johal, Gurpreet [VerfasserIn]

Links:

Volltext

Themen:

Arterial health
CVD
Journal Article
LV hypertrophy
Metabolic surgery
Review
Sleeve gastrectomy

Anmerkungen:

Date Completed 14.02.2024

Date Revised 26.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cpcardiol.2023.102359

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366192892