Obesity, Challenges, and Weight-Loss Strategies for Patients With Ventricular Assist Devices

被引:0
作者
daSilva-deAbreu, Adrian [1 ,2 ]
Rodgers, Jo E. [3 ]
Seltz, Jessica [4 ]
Mandras, Stacy A. [5 ]
Lavie, Carl J. [6 ]
Loro-Ferrer, Juan Francisco [2 ]
Ventura, Hector O. [6 ]
Schauer, Philip R. [7 ]
Vest, Amanda R. [8 ]
机构
[1] Mayo Clin, Dept Cardiovasc Med, 200 1st St SW, Rochester, MN 55905 USA
[2] Univ Las Palmas Gran Canaria, Doctoral Sch, Las Palmas Gran Canaria, Spain
[3] Univ N Carolina, UNC Eshelman Sch Pharm, Div Pharmacotherapy & Expt Therapeut, Chapel Hill, NC USA
[4] Tufts Med Ctr, Frances Stern Nutr Ctr, Boston, MA USA
[5] AdventHlth Orlando, Transplant Inst, Orlando, FL USA
[6] Univ Queensland, John Ochsner Heart & Vasc Inst, Ochsner Clin Sch, Dept Cardiovasc Dis,Sch Med, New Orleans, LA USA
[7] Pennington Biomed Res Ctr, Metamor Metab Inst, Baton Rouge, LA USA
[8] Tufts Med Ctr, CardioVasc Ctr, Div Cardiol, Boston, MA USA
关键词
bariatric surgery; heart failure; heart transplantation; left ventricular assist devices; obesity; weight loss; GASTRIC BYPASS-SURGERY; ADVANCED HEART-FAILURE; BARIATRIC SURGERY; MANAGEMENT; OUTCOMES; TRANSPLANTATION; RESTRICTION; LIRAGLUTIDE; OVERWEIGHT; NATIONWIDE;
D O I
10.1016/j.jchf.2024.04.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
For adults with advanced heart failure, class II/III obesity (body mass index >= 35 kg/m2) 2 ) represents major challenges, and it is even considered a contraindication for heart transplantation (HT) at many centers. This has led to growing interest in preventing and treating obesity to help patients with advanced heart failure become HT candidates. Among all weight- loss strategies, bariatric surgery (BSx) has the greatest weight loss efficacy and has shown value in enabling select patients with left ventricular assist devices (LVADs) and obesity to lose sufficient weight to access HT. Nevertheless, both BSx and antiobesity medications warrant caution in the LVAD population. In this review, the authors describe and interpret the available published reports on the impact of obesity and weight-loss strategies for patients with LVADs from general and HT candidacy standpoints. The authors also provide an overview of the journey of LVAD recipients who undergo BSx and review major aspects of perioperative protocols. (JACC Heart Fail. 2024;12:1661-1676) (c) 2024 by the American College of Cardiology Foundation.
引用
收藏
页码:1661 / 1676
页数:16
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