Esparham Ali, Shoar Saeed, Kheradmand Hamid Reza, Ahmadyar Soheil, Dalili Amin, Rezapanah Alireza, Zandbaf Tooraj, Khorgami Zhamak
Student Research Committee, College of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Clinical Research, ScientificWriting Corp, Houston, TX, USA.
Obes Surg. 2023 Jan;33(1):345-361. doi: 10.1007/s11695-022-06396-z. Epub 2022 Dec 5.
The purpose of this study was to provide pooled data from all studies on the impact of bariatric surgery on cardiac structure, and systolic and diastolic function evaluated by either echocardiography or cardiac magnetic resonance. PubMed, Web of Science, Embase, and Scopus databases were searched. Almost all of cardiac left-side structural indices improved significantly after bariatric surgery. However, right-side structural indices did not change significantly. Left ventricular ejection fraction and most of the diastolic function indices improved significantly after the bariatric surgery. The subgroup analysis showed that the left ventricular mass index decreased more in long-term follow-up (≥ 12 months). In addition, subgroup analysis of studies based on surgery type did not reveal any difference in outcomes between gastric bypass and sleeve gastrectomy groups.
本研究的目的是汇总所有关于减肥手术对心脏结构以及通过超声心动图或心脏磁共振评估的收缩和舒张功能影响的研究数据。检索了PubMed、科学网、Embase和Scopus数据库。减肥手术后，几乎所有心脏左侧结构指标均有显著改善。然而，右侧结构指标没有显著变化。减肥手术后，左心室射血分数和大多数舒张功能指标有显著改善。亚组分析显示，在长期随访（≥12个月）中，左心室质量指数下降得更多。此外，基于手术类型的研究亚组分析未发现胃旁路手术组和袖状胃切除术组在结果上有任何差异。
