Metabolic surgery linked to better cardiovascular outcomes after heart attack

Reuters Health - 28/10/2020 - Patients who undergo bariatric surgery after myocardial infarction (MI) have better cardiovascular outcomes and lower mortality than their peers who don't have weight-loss surgery, a new study suggests. Risk of major cardiovascular events (MACE), cumulative mortality and second MI were reduced by more than half in metabolic-surgery patients compared to controls, Dr. Eric Naeslund of Karolinska Institutet in Stockholm and colleagues found. "Although the results are good and indicate that you are at an advantage if you undergo the surgery, they are not conclusive in the sense that you need to have a randomized controlled trial," Dr. Naeslund told Reuters Health by phone. Metabolic surgery is an established treatment for type-2 diabetes, although its effects on CVD have not been as well studied, he and his colleagues note in Circulation. To investigate, they used the SWEDEHART registry of heart-disease patients and the Scandi...

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Posted on 28 October, 20206 November, 2020