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Gruberg, L., Mercado, N., Milo, S., Boersma, E., Disco, C., van Es, G., Lemos, P., Tzvi, M., Wijns, W., Unger, F., Beyar, R. and Serruys, P. (2005) Impact of Body Mass Index on the Outcome of Patients with Multivessel Disease Randomized to Either Coronary Artery Bypass Grafting or Stenting in the ARTS Trial: The Obesity Paradox II? American Journal of Cardiology, 95, 439-444.
has been cited by the following article:
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TITLE:
Does Obesity Affect Early Results after Coronary Artery Bypass Grafting?
AUTHORS:
Mahdi Aithoussa, Noureddine Atmani, Anis Seghrouchni, Abdessamad Abdou, Younes Moutakiallah, Mehdi Bamous, Siham Bellouize, Fouad Nya, Zouhair Lakhal, Abdedaim Hatim Ghadbane, Youssef Elbekkali, Abdelatif Boulahya
KEYWORDS:
Obesity, Coronary Artery Bypass Grafting, Morbidity, Mortality
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.7 No.10,
October
31,
2017
ABSTRACT: Background: The aim of this study was to quantify
the effect of obesity on early results after coronary artery bypass grafting
(CABG). Methods: A retrospective cohort study of patients underwent isolated
CABG from January 2000 through December 2012 was conducted. 586 patients were
classified into two groups: Obese
(n = 100)
BMI ≥ 30 kg/m2 and
non-obese (n = 486) BMI ≤ 30kg/m2.
Results: The obese patients included more women (p 0.01), hypertensives (p = 0.01) and dyslipidemics (p = 0001). The CPB, aortic champ times and number of
bypass graft were similar between the groups (p = 0.35, p = 0.51 and p = 0.59 respectively). Also the composite of
in-hospital mortality and postoperative complication didn’t differ between the
groups. The incidence of perioperative myocardial infarction, and need for inotropic drugs or IABP were significantly
less in obese patients (p = 0.028, p = 0.031 and p 0.01
respectively). Conclusions: The
current study showed that obesity is not a risk factor of adverse events after
CABG and continuous to give another aspect of the “obesity paradox”.