Assessment of cardiovascular system changes following obesity interventional procedures

Document Type : Review Article

Authors

1 medical department-faculty of enviromental research-ain-shams university

2 professor of community and environmental medicine-Faculty of environmental studies and research- Ain -shams university

3 Assistant professor of General Surgery Al-Azhar Faculty of Medicine- Assiut- Al-Azhar University

Abstract

To settle cardiovascular changes that might follow obesity interventional procedures if any

Methodology

The study had been conducted prospectively including 50 obese patients with Body Mass Index (BMI)starting from 30 kg/m2 who are seeking interventional obesity procedure either through sleeve surgery or liposuction

Cardiovascular system effects after reduction of body fat mass had been measured regarding: arterial blood pressure (mean systolic and diastolic blood pressure), pulse (rate), and ECG changes (S-T segment represents conductivity and P wave represent arrhythmicity) before and after procedures.

All study parameters had been assessed immediately before intervention one, three and six months after.

Results

Data was analysed using SPSS computer programme version 20 Descriptive statistics were expressed as mean and standard deviation independent sample t-test was used to compare means of two groups p-value was considered significant if less than 0.05 P-value was considered highly significant if less than 0.01, then all readings were statistically analysed



Discussion.

The present study demonstrates that clinically important weight reduction by bariatric surgery can lead to major improvements in predicted cardiovascular(cv) risk, while liposuction surgery has no much effect on the calculated and predicted CV By using studies with long term follow-up of detailed patient information on CV risk factors

We recommend

• Patients with increased risk factors to CVD due to obesity to undergo sleeve gastrectomy to have a benefit to decrease their possibility to worthen their CVD complications.

• Liposuction has no role in decreasing risk of CVD on obese persons.

Keywords

Main Subjects