MDNews - Long Island

February 2022

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Improving Cardiac Outcomes BY DANIEL K. BRANTLEY Through Bariatric Surgery THE LINK BET WEEN obesity and cardiovascular health is well established. Until recent years, however, it was unclear whether bariatric surgery could reduce morbidity and mortality among obese individuals who had already experienced significant cardiovascular events. Traditionally, such individuals were deemed poor candidates for surgical intervention. This view is being reconsidered due to multiple studies that have found bariatric surgery to have a significant, positive impact on the postsurgical health of patients with previous cardiac events. MACE: A 10-YEAR RETROSPECTIVE REVIEW Researchers in Ontario sought to determine the specific effect of bariatric surgery on longevity and the risk of future MACE (major adverse cardiac events). During their retrospective study, researchers reviewed Ontario-based bariatric surgery patients from January 2010 to December 2016 and compared them to obese patients who did not undergo surgery. Though not a randomized study, this population-based, propensity score-matched study allowed researchers to approximate the conditions of a randomized study. 0 8

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