Cathlyn K Medina MD , Stephanie G Barnes PhD , G Michael Felker MD, MHS , Robert J Mentz MD , Neha J Pagidipati MD , Keri A Seymour DO , Jacob N Schroder MD , Josephine Harrington MD
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Severe obesity among patients with left ventricular assist devices
Background
Patients with obesity and advanced heart failure requiring left ventricular assist device (LVAD) support are more likely to experience LVAD complications and may be disproportionately Black and/or female when compared to patients without obesity. Among these patients, obesity may represent a barrier to transplant eligibility and a marker of inequity in heart transplantation and health outcomes in advanced heart failure.
Methods
To better understand this issue at our institution, we examined our active LVAD cohort and found that almost one-third of all patients had severe obesity with BMI ≥ 35 kg/m2.
Results
Patients with LVADs and severe obesity were significantly younger and more likely to self-identify as Black, and numerically more likely to be female.
Conclusion
Weight management in this group represents a vital area for improved equity in health outcomes and barriers to heart transplantation.
期刊介绍：
The American Heart Journal will consider for publication suitable articles on topics pertaining to the broad discipline of cardiovascular disease. Our goal is to provide the reader primary investigation, scholarly review, and opinion concerning the practice of cardiovascular medicine. We especially encourage submission of 3 types of reports that are not frequently seen in cardiovascular journals: negative clinical studies, reports on study designs, and studies involving the organization of medical care. The Journal does not accept individual case reports or original articles involving bench laboratory or animal research.
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