Surgery for Obesity and Related Diseases
Volume 5, Issue 6 , Pages 653-656 , November 2009

Cardiovascular complications of obesity surgery in patients with increased preoperative cardiac risk

Presented as a poster presentation at the 2009 American Society for Metabolic and Bariatric Surgery Annual Meeting

  • Bosede A. Afolabi, M.D.

      Affiliations

    • Department of Cardiology, Bariatric and Metabolic Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, Florida
    • ,
  • Gian M. Novaro, M.D.

      Affiliations

    • Department of Cardiology, Bariatric and Metabolic Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, Florida
    • ,
  • Samuel Szomstein, M.D.

      Affiliations

    • Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, Florida
    • ,
  • Raul J. Rosenthal, M.D.

      Affiliations

    • Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, Florida
    • ,
  • Craig R. Asher, M.D.

      Affiliations

    • Department of Cardiology, Bariatric and Metabolic Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, Florida
    • Corresponding Author InformationReprint requests: Craig R. Asher, MD, Department on Cardiology, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Desk A-23, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331

Received 31 December 2008 ,Revised 1 April 2009 ,Accepted 29 June 2009.

References 

  1. Vogel JA, Franklin BA, Zalesin KC, et al. Reduction in predicted coronary heart disease risk after substantial weight reduction after bariatric surgery. Am J Cardiol. 2007;99:222–226
  2. Buchwald H, Campos CT, Boen JR, et al. Disease-free intervals after partial ileal bypass in patients with coronary heart disease and hypercholesterolemia: report from the Program on the Surgical Control of the Hyperlipidemias (POSCH). J Am Coll Cardiol. 1995;26:351–357
  3. Klein S, Burke LE, Bray GA, et al. Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation. 2004;110:2952–2967
  4. Lopez-Jimenez F, Bhatia S, Collazo-Clavell ML, et al. Safety and efficacy of bariatric surgery in patients with coronary artery disease. Mayo Clin Proc. 2005;80:1157–1162
  5. Vasan RS, Sullivan LM, Wilson PW, et al. Relative importance of borderline and elevated levels of coronary heart disease risk factors. Ann Intern Med. 2005;142:393–402erratum in Ann Intern Med 2005142:681
  6. Alsabrook GD, Goodman HR, Alexander JW. Gastric bypass for morbidly obese patients with established cardiac disease. Obes Surg. 2006;16:1272–1277
  7. Devereaux PJ, Yang H, Yusuf S, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet. 2008;371:1839–1847
  8. McNulty PH, Ettinger SM, Field JM, et al. Cardiac catheterization in morbidly obese patients. Catheter Cardiovasc Interv. 2002;56:174–177
  9. Duvall WL, Croft LB, Corriel JS, et al. SPECT myocardial perfusion imaging in morbidly obese patients: image quality, hemodynamic response to pharmacologic stress, and diagnostic and prognostic value. J Nucl Cardiol. 2006;13:202–209
  10. Fornitano LD, Godoy MF. Exercise testing in individuals with morbid obesity. Obes Surg Epub. 2008 Oct 2;
  11. Madu EC. Transesophageal dobutamine stress echocardiography in the evaluation of myocardial ischemia in morbidly obese subjects. Chest. 2000;117:657–661
  12. Gugliotti D, Grant P, Jaber W. Challenges in cardiac risk assessment in bariatric surgery patients. Obes Surg. 2008;18:129–133
  13. Ramaswamy A, Gonzalez R, Smith CD. Extensive preoperative testing is not necessary in morbidly obese patients undergoing gastric bypass. J Gastrointest Surg. 2004;8:159–164
  14. Niraj A, Pradahan J, Fakhry H, et al. Severity of coronary artery disease in obese patients undergoing coronary angiography: “obesity paradox” revisited. Clin Cardiol. 2007;30:391–396

PII: S1550-7289(09)00583-8

doi: 10.1016/j.soard.2009.06.009

Surgery for Obesity and Related Diseases
Volume 5, Issue 6 , Pages 653-656 , November 2009

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