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Clinical Outcomes, Trends in Weight, and Weight Loss Strategies in Patients With Obesity After Durable Ventricular Assist Device Implantation

  • Nonpharmacologic Therapy: Surgery, Ventricular Assist Devices, Biventricular Pacing, and Exercise (A. Hasan, Section Editor)
  • Published:
Current Heart Failure Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

To discuss clinical outcomes, changes in weight, and weight loss strategies of patients with obesity post left ventricular assist device (LVAD) implantation.

Recent Findings

Despite increased complications in patients with obesity after LVAD implantation, survival is comparable to patients without obesity. A minority of patients with obesity lose significant weight and become eligible for heart transplantation after LVAD implantation. In fact, a great majority of such patients gain weight post-implantation.

Summary

Obesity by itself should not be considered prohibitive for LVAD therapy but, rather, should be incorporated into the overall risk assessment for LVAD implantation. Concerted strategies should be developed to promote sustainable weight loss in patients with obesity and LVAD to improve quality of life, eligibility, and outcomes after heart transplantation. Investigation of the long-term impact of weight loss on patients with obesity with LVAD is warranted.

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Authors and Affiliations

  1. Department of Internal Medicine, University of Connecticut, Farmington, CT, 06030, USA

    Naga Vaishnavi Gadela

  2. Medical Weight Management, Department of Bariatric Surgery, Hartford Hospital, Hartford, CT, 06106, USA

    Devika Umashanker

  3. Hartford HealthCare Heart and Vascular Institute, Hartford Hospital, 85 Jefferson Street, Suite#JB208, Hartford, CT, 06106, USA

    Andrew Scatola & Abhishek Jaiswal

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  1. Naga Vaishnavi Gadela
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This article is part of the Topical Collection on Nonpharmacologic Therapy: Surgery, Ventricular Assist Devices, Biventricular Pacing, and Exercise

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Gadela, N.V., Umashanker, D., Scatola, A. et al. Clinical Outcomes, Trends in Weight, and Weight Loss Strategies in Patients With Obesity After Durable Ventricular Assist Device Implantation. Curr Heart Fail Rep 18, 52–63 (2021). https://doi.org/10.1007/s11897-020-00500-z

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