Obesity

The effects of bariatric surgery on cardiac function: a systematic review and meta-analysis

Int J Obes (Lond)Published Systematic review and meta-analysis

Authors' conclusion

Bariatric surgery led to reverse remodelling and improvement in cardiac geometry and function driven by metabolic and haemodynamic factors.

Study context

Population
Patients undergoing bariatric surgery with pre- and postoperative cardiac structure and function parameters on cardiac imaging
Participants
3,332 patients80 studies
Comparison
After vs before bariatric surgery
Outcome
Cardiac structure and function
Methodological detailspre- and postoperative comparison
  • Pre- and postoperative comparison

Pooled result

As reported in the abstract

Cardiac geometry and function after surgery
Decrease in left ventricular (LV) mass index
12.2% (95% CI 0.096-0.149; p < 0.001)
Increase in E/A ratio
0.155 (95% CI 0.106-0.205; p < 0.001)
Decrease in left atrial diameter
2.012 mm (95% CI 1.356-2.699; p < 0.001)
Decrease in LV diastolic dimension
1.16 mm (95% CI 0.62-1.69; p < 0.001)
Increase in LV ejection fraction
1.636% (95% CI 0.706-2.566; p < 0.001)

Original publication

The effects of bariatric surgery on cardiac function: a systematic review and meta-analysis. Int J Obes (Lond). Published 25 November 2023. doi:10.1038/s41366-023-01412-3

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