Armaun D Rouhi, Rashikh A Choudhury, Gerard D Hoeltzel, Yazid K Ghanem, Yanik J Bababekov, Alejandro Suarez-Pierre, Arthur Yule, Navin G Vigneshwar, Noel N Williams, Kristoffel R Dumon, Trevor L Nydam
PURPOSE: For patients with obesity and congestive heart failure (CHF) who require heart transplantation (HT), aggressive weight loss has been associated with ventricular remodeling, or subclinical alterations in left and right ventricular structure that affect systolic function. Many have suggested offering metabolic and bariatric surgery (MBS) for these patients. As such, we evaluated the role of MBS in HT for patients with obesity and CHF using predictive modelling techniques. MATERIALS AND METHODS: Markov decision analysis was performed to simulate the life expectancy of 30,000 patients with concomitant obesity, CHF, and 30% ejection fraction (EF) who were deemed ineligible to be waitlisted for HT unless they achieved a BMI < 35 kg/m2 ...
November 29, 2023: Obesity Surgery