The Prevalence and Impact of Obesity on the Outcomes of Patients Undergoing Transcatheter Mitral Valve Repair using MitraClip - A National Inpatient Sample Analysis 2016 to 2020.

Authors

Garba Rimamskep Shamaki, Rochester Regional Health-Unity Hospital, Rochester NYFollow
Favour Markson, Lincoln Medical Center, Bronx, NY, USAFollow
Osarenren Idemudia, Mercy Health South, St Loius MOFollow
Andrew Murphy, Pennsylvania Hospital of the University of Pennsylvania, Philadelphia, PAFollow
Tamunoinemi Bob-Manuel, Stern Cardiovascular Foundation, Germantown TNFollow
Akanimo Antia, Lincoln Medical Center, Bronx, NY, USAFollow
David Corteville, Rochester Regional Health-Unity Hospital, Rochester NYFollow

Author Credentials

Garba Rimamskep Shamaki, MD

Markson Favour, MD

Osarenren Idemudia, MD

Andrew Murphy, MD

Akanimo Antia, MD

David Corteville, MD, FACC, CPE

Author ORCID Identifier

0000-0002-7838-2753

Abstract

Background: Low Body Mass Index (BMI) is associated with poor outcomes in patients who undergo various cardiac interventions. Studies on patients with elevated BMI have produced mixed results. Our study aims to evaluate the impact of obesity on the in-hospital outcomes of patients undergoing transcatheter mitral valve repair using MitraClip in the United States.

Methods: The National Inpatient Sample (NIS) database (2016-2020) was analyzed to identify patients who underwent transcatheter mitral valve repair using MitraClip. Patients less than 18 years, with protein-energy malnutrition and rapid weight loss, were excluded. Our final study population was classified into Obese (BMI ≥ 30 Kg/m²) and Non-obese (Normal/Overweight) (BMI 0f 18.5 -29.9 Kg/m²) cohorts based on their Body Mass Index (BMI). The primary outcomes were the prevalence of obesity and in-hospital mortality. Secondary outcomes were the rate of periprocedural complications, including cardiogenic shock, cardiac arrest, myocardial infarction, and acute kidney injury.

Result: 40,950 patients underwent transcatheter mitral valve repair (MitraClip) during our study period. 7.8% were identified as obese. Obese patients were more likely to be female (50.6% vs. 43.9%, p

Conclusions: Our study suggests obesity does not influence short-term in-hospital outcomes in patients undergoing transcatheter mitral valve repair using MitraClip.

Creative Commons License

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Recommended Citation

Shamaki G, Markson F, Idemudia O, Murphy A, Bob-Manuel T, Antia A, Corteville D. The Prevalence and Impact of Obesity on the Outcomes of Patients Undergoing Transcatheter Mitral Valve Repair using MitraClip - A National Inpatient Sample Analysis 2016 to 2020.. Advances in Clinical Medical Research and Healthcare Delivery. 2023; 3(4). doi: 10.53785/2769-2779.1177.

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