Cardiovascular Profile and Cardiovascular Imaging After Bariatric Surgery: A Narrative Review

<i>Background and Objectives</i>: Up until now, behavioral interventions and pharmacological therapies were the main approach available for the management of obesity. Diet and exercise, when used as a singular therapeutic method, are inadequate for a successful outcome. Research shows pr...

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Main Authors: Mihaela Toader, Liliana Gheorghe, Costin Chirica, Ionuț-Alexandru Ghicu, Sabina-Ioana Chirica, Andreea Isabela Mazga, Danisia Haba, Mădălina Maxim, Ancuța Andreea Miler, Daniela Crișu, Mihai Ștefan Cristian Haba, Daniel Vasile Timofte
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/1/73
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author Mihaela Toader
Liliana Gheorghe
Costin Chirica
Ionuț-Alexandru Ghicu
Sabina-Ioana Chirica
Andreea Isabela Mazga
Danisia Haba
Mădălina Maxim
Ancuța Andreea Miler
Daniela Crișu
Mihai Ștefan Cristian Haba
Daniel Vasile Timofte
author_facet Mihaela Toader
Liliana Gheorghe
Costin Chirica
Ionuț-Alexandru Ghicu
Sabina-Ioana Chirica
Andreea Isabela Mazga
Danisia Haba
Mădălina Maxim
Ancuța Andreea Miler
Daniela Crișu
Mihai Ștefan Cristian Haba
Daniel Vasile Timofte
author_sort Mihaela Toader
collection DOAJ
description <i>Background and Objectives</i>: Up until now, behavioral interventions and pharmacological therapies were the main approach available for the management of obesity. Diet and exercise, when used as a singular therapeutic method, are inadequate for a successful outcome. Research shows promising results for the surgical treatment of obesity, especially in the area of bariatric surgery (BaS). The relevance of this study is the valuable analysis of the evolution of obese patients with increased cardiovascular risk. <i>Materials and Methods</i>: The patients eligible for BaS commonly suffer from multiple chronic conditions, including type 2 diabetes, obstructive sleep apnea, cardiovascular diseases, and non-alcoholic fatty liver disease. Additionally, obesity contributes to an increased probability of developing certain types of cancer, osteoarthritis, urinary incontinence, and chronic kidney disease. In this review, we focused especially on the cardiovascular status of obese patients who underwent bariatric procedures. <i>Results</i>: BaS has been found to be strongly associated with a reduced incidence of severe complications in individuals with a history of myocardial infarction (MI) and severe obesity. Specifically, this procedure is linked to a lower occurrence of major adverse cardiovascular events and a decrease in overall mortality. Also, BaS is correlated with a reduced risk of recurrent MI and the development of new-onset heart failure. <i>Conclusions</i>: The results of BaS involve a significant amelioration of the BMI, contributing to a considerable decrease in cardiovascular risk factors and to a notable refinement in the cardiovascular structure and function.
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spelling doaj-art-d8e70fac45f340ae9e1c89eeaf58622c2025-01-24T13:40:28ZengMDPI AGMedicina1010-660X1648-91442025-01-016117310.3390/medicina61010073Cardiovascular Profile and Cardiovascular Imaging After Bariatric Surgery: A Narrative ReviewMihaela Toader0Liliana Gheorghe1Costin Chirica2Ionuț-Alexandru Ghicu3Sabina-Ioana Chirica4Andreea Isabela Mazga5Danisia Haba6Mădălina Maxim7Ancuța Andreea Miler8Daniela Crișu9Mihai Ștefan Cristian Haba10Daniel Vasile Timofte11Doctoral School, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universitatii Str., 700115 Iasi, RomaniaDepartment of Radiology, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDoctoral School, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universitatii Str., 700115 Iasi, RomaniaFaculty of General Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDoctoral School, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universitatii Str., 700115 Iasi, RomaniaFaculty of General Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universitatii Str., 700115 Iasi, RomaniaDoctoral School, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universitatii Str., 700115 Iasi, RomaniaDoctoral School, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universitatii Str., 700115 Iasi, RomaniaCardiology Clinic, “St. Spiridon” County Clinical Emergency Hospital, 700111 Iasi, RomaniaCardiology Clinic, “St. Spiridon” County Clinical Emergency Hospital, 700111 Iasi, RomaniaDepartment of Surgery, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania<i>Background and Objectives</i>: Up until now, behavioral interventions and pharmacological therapies were the main approach available for the management of obesity. Diet and exercise, when used as a singular therapeutic method, are inadequate for a successful outcome. Research shows promising results for the surgical treatment of obesity, especially in the area of bariatric surgery (BaS). The relevance of this study is the valuable analysis of the evolution of obese patients with increased cardiovascular risk. <i>Materials and Methods</i>: The patients eligible for BaS commonly suffer from multiple chronic conditions, including type 2 diabetes, obstructive sleep apnea, cardiovascular diseases, and non-alcoholic fatty liver disease. Additionally, obesity contributes to an increased probability of developing certain types of cancer, osteoarthritis, urinary incontinence, and chronic kidney disease. In this review, we focused especially on the cardiovascular status of obese patients who underwent bariatric procedures. <i>Results</i>: BaS has been found to be strongly associated with a reduced incidence of severe complications in individuals with a history of myocardial infarction (MI) and severe obesity. Specifically, this procedure is linked to a lower occurrence of major adverse cardiovascular events and a decrease in overall mortality. Also, BaS is correlated with a reduced risk of recurrent MI and the development of new-onset heart failure. <i>Conclusions</i>: The results of BaS involve a significant amelioration of the BMI, contributing to a considerable decrease in cardiovascular risk factors and to a notable refinement in the cardiovascular structure and function.https://www.mdpi.com/1648-9144/61/1/73bariatric surgerycardiovascular structurecardiovascular function
spellingShingle Mihaela Toader
Liliana Gheorghe
Costin Chirica
Ionuț-Alexandru Ghicu
Sabina-Ioana Chirica
Andreea Isabela Mazga
Danisia Haba
Mădălina Maxim
Ancuța Andreea Miler
Daniela Crișu
Mihai Ștefan Cristian Haba
Daniel Vasile Timofte
Cardiovascular Profile and Cardiovascular Imaging After Bariatric Surgery: A Narrative Review
Medicina
bariatric surgery
cardiovascular structure
cardiovascular function
title Cardiovascular Profile and Cardiovascular Imaging After Bariatric Surgery: A Narrative Review
title_full Cardiovascular Profile and Cardiovascular Imaging After Bariatric Surgery: A Narrative Review
title_fullStr Cardiovascular Profile and Cardiovascular Imaging After Bariatric Surgery: A Narrative Review
title_full_unstemmed Cardiovascular Profile and Cardiovascular Imaging After Bariatric Surgery: A Narrative Review
title_short Cardiovascular Profile and Cardiovascular Imaging After Bariatric Surgery: A Narrative Review
title_sort cardiovascular profile and cardiovascular imaging after bariatric surgery a narrative review
topic bariatric surgery
cardiovascular structure
cardiovascular function
url https://www.mdpi.com/1648-9144/61/1/73
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