Implications of obesity in cardiac surgery: pattern of referral, physiopathology, complications, prognosis

被引：29
作者：
De Santo, Luca Salvatore [1 ,2 ]
Moscariello, Caesar [2 ]
Zebele, Carlo [2 ]
机构：
[1] Univ Foggia, Dept Med & Surg Sci, Viale Pinto 1, I-71121 Foggia, Italy
[2] GVM Care & Res, Casa Cura Montevergine, Div Cardiac Surg, Mercogliano, AV, Italy
来源：
JOURNAL OF THORACIC DISEASE | 2018年 / 10卷 / 07期
关键词：
Body mass index (BMI); obesity; cardiac surgery; mortality; complications; BODY-MASS INDEX; ACUTE KIDNEY INJURY; POSTOPERATIVE ATRIAL-FIBRILLATION; ARTERY-BYPASS SURGERY; RISK-FACTORS; CORONARY REVASCULARIZATION; HEART-TRANSPLANTATION; METABOLIC SYNDROME; WEIGHT; MORTALITY;
D O I：
10.21037/jtd.2018.06.104
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
A U-shaped relationship between body mass index (BMI) and outcomes emerged after cardiac surgery. This review analyses the physio pathologic basis of obesity related complications and evaluates prognostic implications. Both leaner and morbid obese should be considered pre-operatively rather than reactively and, when referred for elective surgery, should undergo a focused metabolic status management, and a thorough evaluation of health status. Adherence to sound surgical principles, and tailored patient blood management and perioperative care are mandatory.
引用
收藏
页码：4532 / 4539
页数：8
相关论文
共 36 条
  • [1] Amarelli Cristiano, 2012, Front Biosci (Elite Ed), V4, P662
  • [2] Obesity and Oxidative Stress Predict AKI after Cardiac Surgery
    Billings, Frederic T.
    Pretorius, Mias
    Schildcrout, Jonathan S.
    Mercaldo, Nathaniel D.
    Byrne, John G.
    Ikizler, T. Alp
    Brown, Nancy J.
    [J]. JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2012, 23 (07): : 1221 - 1228
  • [3] Catapano D, 2016, NONINVASIVE MECH VEN, P191
  • [4] Heart transplantation in heart failure: The prognostic importance of body mass index at time of surgery and subsequent weight changes
    Clark, Andrew L.
    Knosalla, Christoph
    Birks, Emma
    Loebe, Matthias
    Davos, Constantinos H.
    Tsang, Sui
    Negassa, Abdissa
    Yacoub, Magdi
    Hetzer, Roland
    Coats, Andrew J. S.
    Anker, Stefan D.
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2007, 9 (08) : 839 - 844
  • [5] Acute kidney injury in patients undergoing cardiac surgery
    Coppolino, Giuseppe
    Presta, Piera
    Saturno, Laura
    Fuiano, Giorgio
    [J]. JOURNAL OF NEPHROLOGY, 2013, 26 (01) : 32 - 40
  • [6] Obesity-related glomerulopathy: clinical and pathologic characteristics and pathogenesis
    D'Agati, Vivette D.
    Chagnac, Avry
    de Vries, Aiko P. J.
    Levi, Moshe
    Porrini, Esteban
    Herman-Edelstein, Michal
    Praga, Manuel
    [J]. NATURE REVIEWS NEPHROLOGY, 2016, 12 (08) : 453 - 471
  • [7] Bilateral Internal Mammary Artery Grafting and Risk of Sternal Wound Infection: Evidence From Observational Studies
    Dai, Chenyang
    Lu, Zhexin
    Zhu, Hongsheng
    Xue, Song
    Lian, Feng
    [J]. ANNALS OF THORACIC SURGERY, 2013, 95 (06) : 1938 - 1945
  • [8] How to delineate obstructive sleep apnea and continuous positive airway pressure link in postoperative atrial fibrillation conundrum?
    De Santo, Luca Salvatore
    Esquinas, Antonio M.
    [J]. JOURNAL OF CRITICAL CARE, 2016, 31 (01) : 276 - 276
  • [9] Anesthetic challenges in the obese patient
    Domi, Rudin
    Laho, Haki
    [J]. JOURNAL OF ANESTHESIA, 2012, 26 (05) : 758 - 765
  • [10] Are preoperative obesity and cachexia risk factors for post heart transplant morbidity and mortality: A multi-institutional study of preoperative weight-height indices
    Grady, KL
    White-Williams, C
    Naftel, D
    Costanzo, MR
    Pitts, D
    Rayburn, B
    VanBakel, A
    Jaski, B
    Bourge, R
    Kirklin, J
    [J]. JOURNAL OF HEART AND LUNG TRANSPLANTATION, 1999, 18 (08) : 750 - 763
1234