Evidence map›Paper›PMID 36354785›Full record

ReviewJournal of cardiovascular development and disease2022

A Meta-Analysis on the Impact of High BMI in Patients Undergoing Transcatheter Aortic Valve Replacement.

Jiyoung Seo, Weijia Li, Israel Safiriyu, Amrin Kharawala, Sanjana Nagraj, Arooj Tahir, Ioannis Doundoulakis, Leonidas Koliastasis, Saul Rios, Leonidas Palaiodimos and 1 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05645978 (Association of Obesity and Cardiovascular Outcomes in Patients With Pacemaker), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05645978 unknown statusnot on this map

Association of Obesity and Cardiovascular Outcomes in Patients With Pacemaker : a Korean Nationwide Cohort Study

TypeobservationalSponsorAjou University School of MedicineRan2022 to 2024Enrolled20,000ConditionsPacemaker Complication, Arrhythmias, Cardiac, Obesity, Cardiovascular MorbidityArmsPacemaker insertion
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Obesity and Transcatheter Aortic Valve Replacement.Journal of cardiovascular development and disease · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Jiyoung SeoDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, The Bronx, NY 10461, USA.ORCID 0000-0002-6285-3872
Weijia LiAdventHealth Orlando, Orlando, FL 32803, USA.ORCID 0000-0001-7787-4353
Israel SafiriyuDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, The Bronx, NY 10461, USA.
Amrin KharawalaDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, The Bronx, NY 10461, USA.ORCID 0000-0003-3989-4489
Sanjana NagrajDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, The Bronx, NY 10461, USA.ORCID 0000-0002-6230-7214
Arooj TahirDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, The Bronx, NY 10461, USA.
Ioannis DoundoulakisDepartment of Cardiology, Hippokration Hospital, National and Kapodistrian University of Athens, 10679 Athens, Greece.ORCID 0000-0003-2184-3296
Leonidas KoliastasisDepartment of Cardiology, Hippokration Hospital, National and Kapodistrian University of Athens, 10679 Athens, Greece.ORCID 0000-0002-7966-9174
Saul RiosMontefiore Einstein Center for Heart & Vascular Care, Albert Einstein College of Medicine, Montefiore Medical Center, The Bronx, NY 10467, USA.
Leonidas PalaiodimosDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, The Bronx, NY 10461, USA.ORCID 0000-0003-4682-5991
Damianos G KokkinidisSection of Cardiovascular Medicine, Yale New Haven Hospital, Yale University School of Medicine, New Haven, CT 06510, USA.
Albert Einstein College of Medicine · USNational and Kapodistrian University of Athens · GRAdventHealth Orlando · USYale New Haven Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA paradoxical association of obesity with lower risk of transcatheter aortic valve replacement (TAVR) outcomes has been reported. We aimed to systematically review the literature and compare TAVR-related morbidity and mortality among individuals with overweight or obesity and their peers with normal body mass index (BMI).

methodsPubMed and Embase databases were systematically searched for studies reporting TAVR outcomes in different BMI groups. Separate meta-analyses were conducted for studies reporting hazard ratios (HR) and odds ratios/relative risks. Short- and mid-/long-term outcomes were examined.

results26 studies with a total of 74,163 patients were included in our study. Overweight was associated with lower risk of short-term mortality (HR: 0.77; 95% CI: 0.60-0.98) and mid-/long-term mortality (HR: 0.79; 95% CI: 0.70-0.89). Obesity was associated with lower risk for mid-/long-term mortality (HR: 0.79; 95% CI: 0.73-0.86), but no difference was observed in short-term mortality, although a trend was noted (HR: 0.87l 95% CI: 0.74-1.01). Individuals with obesity demonstrated an association with higher odds of major vascular complications (OR: 1.33; 95% CI: 1.05-1.68). Both overweight (OR: 1.16; 95% CI: 1.03-1.30) and obesity (OR: 1.26; 95% CI: 1.06-1.50) were associated with higher likelihood for receiving permanent pacemakers after TAVR.

conclusionIndividuals with overweight and obesity were associated with lower mortality risk compared to those with normal BMI but with higher likelihood of major vascular complications and permanent pacemaker implantation after TAVR.

Indexed as

high body mass indexobesity paradoxtranscatheter aortic valve replacement

Identifiers

PMID36354785
PMCPMC9695436
OpenAlexW4308774032

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.