BMI and the mortality paradox in patients undergoing cardiovascular procedures—Causation or Association?

Key Points There is limited evidence on the relationship between body mass index (BMI) and mortality risk in cardiac patients in the contemporary era of invasive cardiology. In the current observational analysis from the multicenter KARDIO registry (2012–18), BMI was non‐linearly associated with lon...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2023-01, Vol.101 (1), p.231-232
Main Authors: Sharifeh, Tareq Abu, Jneid, Hani
Format: Article
Language:English
Subjects:
Body Mass Index
Humans
Obesity
Risk Factors
Treatment Outcome
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Summary:Key Points There is limited evidence on the relationship between body mass index (BMI) and mortality risk in cardiac patients in the contemporary era of invasive cardiology. In the current observational analysis from the multicenter KARDIO registry (2012–18), BMI was non‐linearly associated with long‐term mortality. After multivariable adjustment, underweight (40 kg/m2) were associated with increased hazards of all‐cause mortality at a median follow‐up of 4.9 years. Clinicians should be vigilant about the obesity paradox in patients undergoing invasive cardiology procedures, and factor them in as they deliberate appropriateness and indications of the procedures.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.30527