The Effect of Bariatric Surgery on Patients with Heart Failure: a Systematic Review and Meta-analysis

Overview

Journal Obes Surg

Date 2023 Oct 28

PMID 37897639

Authors

Ali Esparham

Ali Mehri

Hooman Hadian

Maryam Taheri

Hengameh Anari Moghadam

Armin Kalantari

Michael J Fogli

Zhamak Khorgami

Affiliations

Soon will be listed here.

Abstract

The current study aims to evaluate the effect of bariatric metabolic surgery (BMS) on the New York Heart Association (NYHA) class and left ventricular ejection fraction (LVEF) in patients with diagnosed heart failure (HF). Fourteen related articles with 217 patients were included in the final analysis. LVEF significantly improved after BMS in patients with HF with a mean difference of 7.78% (CI 95%: 3.72, 11.84, I = 83.75, p-value < 0.001). Also, the NYHA class significantly decreased after BMS with a mean difference of - 0.40 (CI 95%: - 0.62, - 0.19, I: 47.03, p-value < 0.001). A total of 27 patients with obesity and HF were listed for cardiac transplantation after BMS. Of those, 20 patients successfully underwent heart transplantation after BMS.

Citing Articles

Dynapenia-abdominal obesity and mortality risk, is independent effect obscured by age and frailty?:Birjand Longitudinal Aging Study (BLAS).

Rahimi Farahani M, Sharifi F, Payab M, Shadman Z, Fakhrzadeh H, Moodi M J Diabetes Metab Disord. 2024; 23(2):2343-2353.

PMID: 39610561 PMC: 11599648. DOI: 10.1007/s40200-024-01501-8.

References

Snipelisky D, Chaudhry S, Stewart G . The Many Faces of Heart Failure. Card Electrophysiol Clin. 2019; 11(1):11-20. DOI: 10.1016/j.ccep.2018.11.001. View

Savarese G, Lund L . Global Public Health Burden of Heart Failure. Card Fail Rev. 2017; 3(1):7-11. PMC: 5494150. DOI: 10.15420/cfr.2016:25:2. View

Roger V . Epidemiology of heart failure. Circ Res. 2013; 113(6):646-59. PMC: 3806290. DOI: 10.1161/CIRCRESAHA.113.300268. View

Vest A, Young J, Cho L . The Metabolic Syndrome, Cardiovascular Fitness and Survival in Patients With Advanced Systolic Heart Failure. Am J Cardiol. 2018; 122(9):1513-1519. DOI: 10.1016/j.amjcard.2018.07.024. View

Kenchaiah S, Evans J, Levy D, Wilson P, Benjamin E, Larson M . Obesity and the risk of heart failure. N Engl J Med. 2002; 347(5):305-13. DOI: 10.1056/NEJMoa020245. View

Barasa A, Schaufelberger M, Lappas G, Swedberg K, Dellborg M, Rosengren A . Heart failure in young adults: 20-year trends in hospitalization, aetiology, and case fatality in Sweden. Eur Heart J. 2013; 35(1):25-32. PMC: 3877433. DOI: 10.1093/eurheartj/eht278. View

Christiansen M, Kober L, Weeke P, Vasan R, Jeppesen J, Smith J . Age-Specific Trends in Incidence, Mortality, and Comorbidities of Heart Failure in Denmark, 1995 to 2012. Circulation. 2017; 135(13):1214-1223. DOI: 10.1161/CIRCULATIONAHA.116.025941. View

Groenewegen A, Rutten F, Mosterd A, Hoes A . Epidemiology of heart failure. Eur J Heart Fail. 2020; 22(8):1342-1356. PMC: 7540043. DOI: 10.1002/ejhf.1858. View

Esparham A, Shoar S, Kheradmand H, Ahmadyar S, Dalili A, Rezapanah A . The Impact of Bariatric Surgery on Cardiac Structure, and Systolic and Diastolic Function in Patients with Obesity: A Systematic Review and Meta-analysis. Obes Surg. 2022; 33(1):345-361. DOI: 10.1007/s11695-022-06396-z. View

10.

Shoar S, Manzoor A, Abdelrazek A, Ikram W, Hosseini F, Shoar N . Parallel improvement of systolic function with surgical weight loss in patients with heart failure and reduced ejection fraction: a systematic review and patient-level meta-analysis. Surg Obes Relat Dis. 2022; 18(3):433-438. DOI: 10.1016/j.soard.2021.12.016. View

11.

Khorgami Z, Shoar S, Saber A, Howard C, Danaei G, Sclabas G . Outcomes of Bariatric Surgery Versus Medical Management for Type 2 Diabetes Mellitus: a Meta-Analysis of Randomized Controlled Trials. Obes Surg. 2018; 29(3):964-974. DOI: 10.1007/s11695-018-3552-x. View

12.

Aleassa E, Khorgami Z, Kindel T, Tu C, Tang W, Schauer P . Impact of bariatric surgery on heart failure mortality. Surg Obes Relat Dis. 2019; 15(7):1189-1196. DOI: 10.1016/j.soard.2019.03.021. View

13.

Greene S, Butler J, Spertus J, Hellkamp A, Vaduganathan M, DeVore A . Comparison of New York Heart Association Class and Patient-Reported Outcomes for Heart Failure With Reduced Ejection Fraction. JAMA Cardiol. 2021; 6(5):522-531. PMC: 7992023. DOI: 10.1001/jamacardio.2021.0372. View

14.

Yancy C, Jessup M, Bozkurt B, Butler J, Casey Jr D, Drazner M . 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013; 62(16):e147-239. DOI: 10.1016/j.jacc.2013.05.019. View

15.

Yang T, Johari Y, Burton P, Earnest A, Shaw K, Hare J . Bariatric Surgery in Patients with Severe Heart Failure. Obes Surg. 2020; 30(8):2863-2869. DOI: 10.1007/s11695-020-04612-2. View

16.

Vest A, Patel P, Schauer P, Satava M, Cavalcante J, Brethauer S . Clinical and Echocardiographic Outcomes After Bariatric Surgery in Obese Patients With Left Ventricular Systolic Dysfunction. Circ Heart Fail. 2016; 9(3):e002260. DOI: 10.1161/CIRCHEARTFAILURE.115.002260. View

17.

Sarmiento-Cobos M, Botero Fonnegra C, Montorfano L, Rivera C, Cogollo V, Lo Menzo E . Short-term rapid weight loss induced by bariatric surgery improves ventricular ejection fraction in patients with severe obesity and heart failure. Surg Obes Relat Dis. 2021; 17(9):1616-1620. DOI: 10.1016/j.soard.2021.05.004. View

18.

Ramani G, McCloskey C, Ramanathan R, Mathier M . Safety and efficacy of bariatric surgery in morbidly obese patients with severe systolic heart failure. Clin Cardiol. 2008; 31(11):516-20. PMC: 6652810. DOI: 10.1002/clc.20315. View

19.

Punchai S, Nor Hanipah Z, Sharma G, Aminian A, Steckner K, Cywinski J . Laparoscopic Sleeve Gastrectomy in Heart Failure Patients with Left Ventricular Assist Device. Obes Surg. 2019; 29(4):1122-1129. DOI: 10.1007/s11695-018-3570-8. View

20.

Miranda W, Batsis J, Sarr M, Collazo-Clavell M, Clark M, Somers V . Impact of bariatric surgery on quality of life, functional capacity, and symptoms in patients with heart failure. Obes Surg. 2013; 23(7):1011-5. DOI: 10.1007/s11695-013-0953-8. View