The Effect of Bariatric Surgery on Patients with Heart Failure: a Systematic Review and Meta-analysis
- PMID: 37897639
- DOI: 10.1007/s11695-023-06898-4
The Effect of Bariatric Surgery on Patients with Heart Failure: a Systematic Review and Meta-analysis
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, I2 = 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, I2: 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.
Keywords: Bariatric surgery; Cardiovascular disease; Heart failure; Heart transplant; Metabolic surgery; Obesity.
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Similar articles
-
Bariatric surgery improves access to renal transplantation and is safe in renal failure as well as after transplantation: A systematic review and meta-analysis.Transplant Rev (Orlando). 2023 Jul;37(3):100777. doi: 10.1016/j.trre.2023.100777. Epub 2023 Jul 8. Transplant Rev (Orlando). 2023. PMID: 37459746
-
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 Mar;18(3):433-438. doi: 10.1016/j.soard.2021.12.016. Epub 2021 Dec 17. Surg Obes Relat Dis. 2022. PMID: 35058131
-
The Effects of Bariatric Surgery on Cardiac Structure and Function: a Systematic Review of Cardiac Imaging Outcomes.Obes Surg. 2016 May;26(5):1030-40. doi: 10.1007/s11695-015-1866-5. Obes Surg. 2016. PMID: 26328532
-
Cardiovascular outcomes with exenatide in type 2 diabetes according to ejection fraction: The EXSCEL trial.Eur J Heart Fail. 2025 Mar;27(3):540-551. doi: 10.1002/ejhf.3478. Epub 2024 Oct 9. Eur J Heart Fail. 2025. PMID: 39381950 Clinical Trial.
-
Stem cell therapy for chronic ischaemic heart disease and congestive heart failure.Cochrane Database Syst Rev. 2016 Dec 24;12(12):CD007888. doi: 10.1002/14651858.CD007888.pub3. Cochrane Database Syst Rev. 2016. PMID: 28012165 Free PMC article.
Cited by
-
Treatment of obesity-related HFpEF: a STEP closer to the SUMMIT.Future Cardiol. 2025 Apr;21(5):261-264. doi: 10.1080/14796678.2025.2477429. Epub 2025 Mar 7. Future Cardiol. 2025. PMID: 40055143 No abstract available.
-
The Effect of Metabolic and Bariatric Surgery on Patients with Idiopathic Intracranial Hypertension; A Systematic Review and Meta-analysis.Obes Surg. 2025 Jul 17. doi: 10.1007/s11695-025-08068-0. Online ahead of print. Obes Surg. 2025. PMID: 40676354 Review.
References
-
- Vest AR, Wu Y, Hachamovitch R, et al. The heart failure overweight/obesity survival paradox: the missing sex link. JACC: Heart Fail. 2015;3(11):917–26.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous