Figure 1. Change in type of bariatric surgery along time.
| Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc |
| Journal website https://www.cardiologyres.org |
Original Article
Volume 12, Number 2, April 2021, pages 80-85
A Retrospective Chart Review of Patients Who Underwent Cardiac Evaluation Before Bariatric Surgery
Figure
Tables
| Overweight | 25.0 - 29.9 kg/m2 |
| Class I obesity | 30.0 - 34.9 kg/m2 |
| Class II obesity | 35.0 - 39.9 kg/m2 |
| Morbid obesity | 40.0 kg/m2 or higher |
| Characteristics | Total | Female (n = 553) | Male (n = 268) |
|---|---|---|---|
| BMI: body mass index; HTN: hypertension; CHF: congestive heart failure; CAD: coronary artery disease; CKD: chronic kidney disease. | |||
| Mean age (years) | 44.8 ± 10.7 | 44.7 ± 10.8 | 45.1 ± 10.5 |
| Mean weight (kg) | 133.2 ± 30.8 | 124.7 ± 25.9 | 156.3 ± 31 |
| Mean height (cm) | 167.1 ± 9.7 | 163.3 ± 7.5 | 177.1 ± 7.7 |
| Mean BMI (kg/m2) | 47.5 ± 9.2 | 46.6 ± 9.0 | 49.7 ± 9.4 |
| Previous history of HTN | 444 (58.3%) | 299 (54.1%) | 62 (29.8%) |
| HTN diagnosed on the encounter | 14 (1.8%) | 13 (2.4%) | 1 (0.5%) |
| Type 2 diabetes | 246 (32.3%) | 177 (32%) | 69 (33.2%) |
| Dyslipidemia | 320 (42%) | 233 (42.1%) | 87 (41.8%) |
| CHF | 7 (0.9%) | 6 (1.1%) | 1 (0.5%) |
| History of CAD | 11 (1.4%) | 2 (0.4%) | 9 (4.3%) |
| CKD | 2 (0.2%) | 1 (0.2%) | 1 (0.5%) |
| Hypothyroidism, on therapy | 87 (11.4%) | 68 (12.3%) | 12 (5.8%) |
| n (%) | |
|---|---|
| EF: ejection fraction; LA: left atrial; LV: left ventricular; DD: diastolic dysfunction; AS: aortic stenosis; AR: aortic regurgitation; MR: mitral regurgitation; TR: tricuspide regurgitation. | |
| Treadmill exercise test/myocardial perfusion study results | |
| No evidence of ischemia | 455 (59.8%) |
| Abnormal test result | 55 (7.2%) |
| Abnormal test result that required a Cath | 38 (5.0%) |
| Inconclusive test result | 73 (9.6%) |
| Not done (body habitus limitations) | 140 (18.4%) |
| Echocardiogram | |
| EF normal range (M: 52-72%; F: 54-74%) | 728 (95.7%) |
| EF mildly abnormal (M: 41-51%; F: 41-53%) | 30 (3.9%) |
| EF moderately abnormal (M&F: 30-40%) | 2 (0.3%) |
| EF severely abnormal (M&F: < 30%) | 1 (0.1%) |
| Septal wall thickness | |
| Normal-mildly abnormal | 585 (72.9%) |
| Moderate-severe hypertrophy | 176 (23.1%) |
| Posterior wall thickness | |
| Normal-mildly abnormal | 661 (86.8%) |
| Moderate-severe hypertrophy | 100 (13.1%) |
| LA diameter by 2D echo | |
| LA diameter ≤ 4 cm | 492 (64.7%) |
| LA diameter > 4 cm | 269 (35.3%) |
| DD | |
| Normal LV relaxation | 534 (70.2%) |
| Grade I DD | 223 (29.3%) |
| Grade II DD | 4 (0.5%) |
| Valve disease | |
| AS | 1 (0.1%) |
| AR mild | 10 (1.3%) |
| AR moderate | 1 (0.1%) |
| MR mild | 72 (9.5%) |
| MR moderate | 4 (0.5%) |
| TR mild | 48 (6.3%) |
| TR moderate | 2 (0.3%) |
| Characteristics | Female (n = 7) | Male (n = 10) | |
|---|---|---|---|
| BMI: body mass index; HTN: hypertension; CAD: coronary artery disease; CHF: congestive heart failure; PMH: past medical history; T2DM: type 2 diabetes mellitus. | |||
| BMI ≥ 40 | 12 (70.6%) | 5 (71.4%) | 7 (70%) |
| Type 2 diabetes | 13 (76.5%) | 4 (57.1%) | 9 (90%) |
| Hypertension | 14 (82.4%) | 4 (57.1%) | 10 (100%) |
| Dyslipidemia | 15 (88.2%) | 6 (85.7%) | 9 (90%) |
| CHF | 2 (11.8%) | 0 (0%) | 2 (20%) |
| PMH of CAD | 4 (23.5%) | 2 (28.6%) | 2 (20%) |
| Former smoker | 12 (70.6%) | 4 (57.1%) | 8 (80%) |
| Family history of T2DM | 8 (47.1%) | 3 (42.9%) | 5 (50%) |
| Family history of HTN | 6 (35.3% ) | 2 (28.6% ) | 4 (40% ) |
| Family history of CAD | 11 (64.7% ) | 4 (57.1% ) | 7 (10% ) |
| Age | CAD | No CAD | Total | %CAD |
|---|---|---|---|---|
| CAD: coronary artery disease. | ||||
| 50 or more | 15 | 253 | 268 | 5.6 |
| < 50 | 2 | 491 | 493 | 0.4 |