Why the study?
Cardiogenic shock carries high morbidity, and obesity is increasingly prevalent, but the impact of higher BMI on outcomes in these patients required analysis.
Does higher body mass index (BMI) impact mortality in patients with cardiogenic shock?
Does higher body mass index (BMI) impact mortality in patients with cardiogenic shock?
Current evidence regarding the obesity paradox in cardiogenic shock is scarce, conflicting, and highly heterogeneous, necessitating further studies.
Answers are grounded in this paper and cite their sources.
Higher BMI effects on cardiogenic shock outcomes remain unclear due to instability; leaves open need for robust prospective analyses.
BACKGROUND: Cardiogenic shock continues to be a highly morbid complication that affects around 7%-10% of patients with acute myocardial infarction or heart failure. Similarly, obesity has become a worldwide epidemic. AIM: To analyze the impact of higher body mass index (BMI) on outcomes of patients with cardiogenic shock. METHODS: (https://www.referencecitationanalysis.com/). The results were not stable on sensitivity analysis and were associated with substantial heterogeneity. CONCLUSION: Current evidence on the association between overweight/obesity and mortality after cardiogenic shock is scarce and conflicting. The obesity paradox might exist in patients with cardiogenic shock but could be confounded by the use of mechanical circulatory support. There is a need for further studies to clarify this relationship.
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Tao et al. (2022) studied this question.
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