Evaluation of Myocardial Function Following SADI-S

Ruano-Campos, Adriana; Cruz‐Utrilla, Alejandro; López-Antoñanzas, Leyre; Luaces, María; Isla, Leopoldo Pérez de; Rubio, Miguel A.; García, Antonio Torres; Sánchez‐Pernaute, Andrés

doi:10.1007/s11695-021-05349-2

Cited by 5 publications

(2 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, 102 studies were reviewed; of these, 77 did not report data on myocardial mechanics, and 24 were reviews, commentary, editorial articles, case reports and studies including less than 10 participants. Thus, a total of 13 studies including patients treated with bariatric surgery for a period longer than one month and containing echocardiographic data of interest were included in the final review [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ] ( Figure 1 ). According to the NOS, the quality of the studies ranged from 6 to 9 (i.e., a score that identifies studies of fair or good quality) [ 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…Our meta-analysis documented that the LVEF did not change significantly after bariatric surgery. Some studies did not report any LVEF improvement [ 16 , 19 , 20 , 22 , 26 ]; this was not the case with GLS, which was significantly improved in all examined studies [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. The present meta-analysis also demonstrated that only GLS, but not LVEF, was improved regardless of the duration of the follow-up.…”

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Bariatric Surgery and Myocardial Mechanics: A Meta-Analysis of Speckle Tracking Echocardiographic Studies

Gherbesi

Cuspidi

Faggiano

et al. 2022

JCM

View full text Add to dashboard Cite

Aim: Current evidence on the effects of bariatric surgery on cardiac mechanics in patients with obesity is based on a few single studies. We investigated this issue through a meta-analysis of speckle tracking echocardiography (STE) studies that reported data on changes in left ventricular (LV) mechanics as assessed by global longitudinal strain (GLS). Methods: The PubMed, OVID-MEDLINE and Cochrane library databases were systematically analysed to search English-language articles published from inception to 31 May 2022. Studies were identified by using Me-SH terms and crossing the following terms: “obesity”, “bariatric surgery”, “left ventricular mechanics”, “left ventricular hypertrophy”, “systolic dysfunction”, “global longitudinal strain”, “echocardiography” and “STE echocardiography”. Results: The meta-analysis, including a total of 512 patients with obesity from 13 studies (follow-up 1–23 months), showed a significant GLS improvement after bariatric procedures, with standard mean difference (SMD) being 0.50 ± 0.08, CI: 0.34/0.65, p < 0.0001. Corresponding SMD value for LV ejection fraction (LVEF) was 0.15 ± 0.09, CI: −0.04/0.34, p = 0.11. A sensitivity analysis restricted to 11 studies with follow-up ≥ 6 months confirmed that GLS (SMD: 0.47 ± 0.08, CI: 0.30/0.63, p < 0.0001) but not LVEF (SMD: 0.14 ± 0.11, CI: −0.08/0.37, p = 0.21) improved after surgery. Conclusions: Our meta-analysis adds a new piece of information on the beneficial effects of bariatric surgery on LV systolic function and, more importantly, suggests that the assessment of myocardial strain should be routinely implemented for a comprehensive evaluation of cardiac functional changes associated with bariatric procedures.

show abstract