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
improve 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 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.
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