Obesity and your heart

It is a well-known fact that obesity greatly increases the risk of developing heart disease, but another less known fact regarding cardiac disease in obese patients is that the diagnosis of heart disease comes at a younger age than in normal weight iniduals. Obesity, as mentioned before, is by itself a risk factor for developing heart disease. Being obese is associated as well with other known risk factors for heart diseases like diabetes, high blood pressure, sedentary life style, depression, anxiety disorders and sleep apnea.

Heart procedures

Morbidly obese patients apart from having an increased risk of heart disease are known to have worst outcomes than normal weight patients when undergoing angioplasty. Angioplasty is one of the most common non-surgical procedure used to unblock coronary arteries. Angioplasty is far less invasive than the need for open heart surgery but in younger and morbidly obese patients (BMI ≥ 40) this procedure has more complications than in normal weight patients.

The outcomes of angioplasty in younger morbidly obese patients were published in the Journal of the American College of Cardiology, researchers included more than 227,000 patients who underwent angioplasty between 1998 and 2009. Patients were ided into four categories based on their body mass index: lean, overweight, obese, and morbidly obese. Researchers compared outcomes based on weight.

Some research

Researchers found that the proportion of morbidly obese patients undergoing angioplasty nearly doubled between during this 11-year period. Compared to patients who were considered overweight, morbidly obese patients had significantly greater risk of complications and death from the procedure. And perhaps most concerning, morbidly obese patients were more likely to have diabetes and were much younger than the other groups (59.2 years old vs. 64.9 years old in the overweight group). Despite morbidly obese patients being more than five years younger than the average, they actually fared worse than older overweight patients undergoing percutaneous coronary intervention.

New research supports a puzzling “obesity paradox.” Examining data collected on tens of thousands of heart patients researchers found that cardiovascular death risk was lower among overweight patients with BMIs between 25 and 30, compared to those with a normal BMI of 20 to 25 but, that is not the case in morbidly obese patients.

Keep BMI under 30

Morbid obesity (body mass index greater than 40) is a serious health condition that greatly increases risk for heart disease and other serious health issues. Since morbidly obese patients have even greater risk for complications from heart procedures like angioplasty, reducing weight is the best way to prevent ever needing such procedures that can put a patient’s health at further risk.

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OCC’s epidemiologist is closely monitoring the COVID-19 status and is actively issuing updates as they are available. The Centers for Disease Control and the World Health Organization are the most trusted sources online.  While the CDC has announced new mask protocols for vaccinated individuals, there will be no changes for our office protocols for patients, guests, and staff members as the announcement does not apply to hospitals or medical facilities. Masks are still a requirement for all patients, guests and staff at our facility.

As we reinitiate weight loss surgery, we are constantly adapting and installing new and updated safety measures.

Weight loss surgery is medically necessary.

Bariatric Surgery and the clash of two pandemics.   

Major metabolic and bariatric surgery Societies and colleges globally are now calling for the safe resumption of bariatric and metabolic surgery before the COVID-19 pandemic is declared over. 

The sooner bariatric surgery can be safely performed, the quicker obesity, type 2 diabetes, and other diseases can be reduced or resolved as they are not only chronic they are also progressive.  Obesity is also linked to more than 40 diseases including type 2 diabetes, hypertension, heart disease, stroke, sleep apnea, osteoarthritis, and at least 13 different types of cancer.

A recent statement from the ASMBS says “Before COVID-19 began, it was clear that patients with obesity were ‘safer through surgery.’ In the era of COVID-19, ‘safer through surgery’ for patients with obesity may prove to be even more important than before.” Obesity and Metabolic syndrome have been identified as an independent risk factor for adverse outcomes including death among COVID-19 patients.

See here for full COVID-19 update. 

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