Barbara P Rogge1, Dana Cramariuc2, Mai Tone Lønnebakken3, Christa Gohlke-Bärwolf4, John B Chambers5, Kurt Boman6, Eva Gerdts3. 1. Department of Heart Disease, Haukeland University Hospital, Bergen, Norway. Electronic address: barbara_lund@yahoo.no. 2. Department of Heart Disease, Haukeland University Hospital, Bergen, Norway. 3. Department of Heart Disease, Haukeland University Hospital, Bergen, Norway; Department of Clinical Science, University of Bergen, Bergen, Norway. 4. Herz-Zentrum Bad Krozingen, Bad Krozingen, Germany. 5. Guy's and St. Thomas Hospitals, London, United Kingdom. 6. Department of Medicine, Institute of Public Health and Clinical Medicine, Umeå University, Skellefteå, Sweden.
Abstract
OBJECTIVES: This study investigated whether overweight and obesity impacted outcome in patients with aortic valve stenosis (AS). BACKGROUND:Increased body mass index (BMI) is a strong predictor of higher cardiovascular (CV) morbidity and mortality in the general population but not among patients undergoing heart surgery. METHODS:Cardiovascular events in 1,664 patients with initially asymptomatic AS were recorded during a mean of 4.3 years of follow-up in the SEAS (Simvastatin Ezetimibe in Aortic Stenosis) study. Patients were grouped according to baseline BMI class. RESULTS:Overweight (n = 737) and obese patients (n = 334) had higher prevalence of hypertension, more abnormal left ventricular geometry, and lower stress-corrected midwall shortening throughout the study compared with normal weight patients (all p < 0.01). The AS progression rate did not differ between BMI classes. In univariate Cox regression, overweight was associated with a 17% to 22% lower rate of AS-related (p = 0.04) and ischemic CV events (p = 0.05). In multivariate analyses, adjusting for AS severity and differences in baseline characteristics, overweight had no significant influence on the rate of ischemic CV or AS-related events, whereas overweight and obesity had 46% and 67% higher rate of total mortality and 42% and 69% higher rate of combined hospital stay for heart failure and death from any cause, respectively, compared with normal weight patients (all p < 0.05). CONCLUSIONS: In patients with initially asymptomatic AS participating in the SEAS study, overweight and obesity did not influence AS progression or rate of AS-related or ischemic CV events but were both associated with increased mortality.
RCT Entities:
OBJECTIVES: This study investigated whether overweight and obesity impacted outcome in patients with aortic valve stenosis (AS). BACKGROUND: Increased body mass index (BMI) is a strong predictor of higher cardiovascular (CV) morbidity and mortality in the general population but not among patients undergoing heart surgery. METHODS: Cardiovascular events in 1,664 patients with initially asymptomatic AS were recorded during a mean of 4.3 years of follow-up in the SEAS (Simvastatin Ezetimibe in Aortic Stenosis) study. Patients were grouped according to baseline BMI class. RESULTS: Overweight (n = 737) and obesepatients (n = 334) had higher prevalence of hypertension, more abnormal left ventricular geometry, and lower stress-corrected midwall shortening throughout the study compared with normal weight patients (all p < 0.01). The AS progression rate did not differ between BMI classes. In univariate Cox regression, overweight was associated with a 17% to 22% lower rate of AS-related (p = 0.04) and ischemic CV events (p = 0.05). In multivariate analyses, adjusting for AS severity and differences in baseline characteristics, overweight had no significant influence on the rate of ischemic CV or AS-related events, whereas overweight and obesity had 46% and 67% higher rate of total mortality and 42% and 69% higher rate of combined hospital stay for heart failure and death from any cause, respectively, compared with normal weight patients (all p < 0.05). CONCLUSIONS: In patients with initially asymptomatic AS participating in the SEAS study, overweight and obesity did not influence AS progression or rate of AS-related or ischemic CV events but were both associated with increased mortality.
Authors: Devin K Patel; Kelly D Green; Marat Fudim; Frank E Harrell; Thomas J Wang; Mark A Robbins Journal: J Am Heart Assoc Date: 2014-05-28 Impact factor: 5.501
Authors: Eva Gerdts; Anne B Rossebø; Terje R Pedersen; Giovanni Cioffi; Mai Tone Lønnebakken; Dana Cramariuc; Barbara P Rogge; Richard B Devereux Journal: Circ Cardiovasc Imaging Date: 2015-11 Impact factor: 7.792
Authors: M Abawi; R Rozemeijer; P Agostoni; R C van Jaarsveld; C S van Dongen; M Voskuil; A O Kraaijeveld; P A F M Doevendans; P R Stella Journal: Neth Heart J Date: 2017-09 Impact factor: 2.380