BACKGROUND: Bariatric surgery is an effective option for weight control in morbid obesity. The goal of this study was to assess cardiac risk prior to bariatric surgery using transesophageal-dobutamine stress echocardiography (TE-DSE). METHODS: 7 morbidly obese patients (mean BMI 67.7 +/- 15.6) were prospectively evaluated by TE-DSE prior to bariatric surgery. RESULTS: All patients underwent TE-DSE without complications. 6 of 7 patients had no evidence of ischemia on TE-DSE. One patient had abnormal TE-DSE showing inferior ischemia and was treated with beta-blockers and nitrates prior to surgery and had no complications. All patients underwent surgery without cardiac complications. 1 patient died at 18 days of sepsis. Over a mean follow-up period of 11 months, the 6 surviving patients have not experienced any cardiac events. Their average weight loss is 58.2 kg. CONCLUSION: TE-DSE is a valuable noninvasive technique for predicting cardiac risk in morbidly obese patients undergoing bariatric surgery.
BACKGROUND: Bariatric surgery is an effective option for weight control in morbid obesity. The goal of this study was to assess cardiac risk prior to bariatric surgery using transesophageal-dobutamine stress echocardiography (TE-DSE). METHODS: 7 morbidly obesepatients (mean BMI 67.7 +/- 15.6) were prospectively evaluated by TE-DSE prior to bariatric surgery. RESULTS: All patients underwent TE-DSE without complications. 6 of 7 patients had no evidence of ischemia on TE-DSE. One patient had abnormal TE-DSE showing inferior ischemia and was treated with beta-blockers and nitrates prior to surgery and had no complications. All patients underwent surgery without cardiac complications. 1 patient died at 18 days of sepsis. Over a mean follow-up period of 11 months, the 6 surviving patients have not experienced any cardiac events. Their average weight loss is 58.2 kg. CONCLUSION:TE-DSE is a valuable noninvasive technique for predicting cardiac risk in morbidly obesepatients undergoing bariatric surgery.
Authors: Sylvie Legault; Mario Sénéchal; Sébastien Bergeron; Marie Arsenault; Michel Tessier; Jean Guimond; Paul Poirier Journal: Cardiovasc Ultrasound Date: 2010-07-28 Impact factor: 2.062
Authors: Stamatios Lerakis; Andreas P Kalogeropoulos; Mikhael F El-Chami; Vasiliki V Georgiopoulou; Arun Abraham; Scott A Lynch; Alex J Lewis; George C Leach; Emily J Osier; Emir Veledar; Randolph P Martin Journal: Obes Surg Date: 2007-11 Impact factor: 4.129
Authors: David Gugliotti; Paul Grant; Wael Jaber; Loutfi Aboussouan; Charles Bae; Daniel Sessler; Philip Scahuer; Roop Kaw Journal: Obes Surg Date: 2007-12-08 Impact factor: 4.129