Impact of body mass index on outcome after percutaneous coronary intervention (the obesity paradox)

Body-Mass Index and Mortality in a Prospective Cohort of U.S. Adults

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Use of a Monoclonal Antibody Directed against the Platelet Glycoprotein IIb/IIIa Receptor in High-Risk Coronary Angioplasty

The EPIC Investigators (1994) · New England Journal of Medicine · doi:10.1056/nejm199404073301402 · Cited by 2,586

Platelet Glycoprotein IIb/IIIa Receptor Blockade and Low-Dose Heparin during Percutaneous Coronary Revascularization

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Randomised placebo-controlled and balloon-angioplasty-controlled trial to assess safety of coronary stenting with use of platelet glycoprotein-IIb/IIIa blockade

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Randomised placebo-controlled and balloon-angioplasty-controlled trial to assess safety of coronary stenting with use of platelet glycoprotein-IIb/IIIa blockade

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Thrombolysis in myocardial infarction (TIMI) trial—Phase I: Hemorrhagic manifestations and changes in plasma fibrinogen and the fibrinolytic system in patients treated with recombinant tissue plasminogen activator and streptokinase

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Randomised placebo-controlled trial of effect of eptifibatide on complications of percutaneous coronary intervention: IMPACT-II

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Identification and preliminary validation of predictors of major bleeding in hospitalized patients starting anticoagulant therapy

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The impact of body mass index onshort- and long-term outcomes inpatients undergoing coronary revascularization

Gurm, H. S., Whitlow, P. L., & Kip, K. E. (2002) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(02)01687-x · Cited by 219

Low-Normal or Excessive Body Mass Index: Newly Identified and Powerful Risk Factors for Death and Other Complications With Percutaneous Coronary Intervention

Ellis, S. G., Elliott, J. M., Horrigan, M., Raymond, R. E., & Howell, G. L. (1996) · The American Journal of Cardiology · doi:10.1016/s0002-9149(96)00386-4 · Cited by 145

Access site complications and puncture site pain following transradial coronary procedures: A correlational study

Cheng, K. Y., Chair, S. Y., & Choi, K. C. (2013) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.12.023 · Cited by 23

Lack of “obesity paradox” in patients presenting with ST-segment elevation myocardial infarction including cardiogenic shock: a multicenter German network registry analysis

Akın, İ., Schneider, H., Nienaber, C. A., Jung, W., Lübke, M., Rillig, A., Ansari, U., Wunderlich, N. C., & Birkemeyer, R. (2015) · BMC Cardiovascular Disorders · doi:10.1186/s12872-015-0065-6 · Cited by 22

Impact of weight on long-term survival among patients without known coronary artery disease and a normal stress SPECT MPI

Uretsky, S., Supariwala, A. A., Singh, P., Atluri, P., Khokhar, S. S., Koppuravuri, H. K., Joshi, R., Mandeva, A., & Rozanski, A. (2010) · Journal of Nuclear Cardiology · doi:10.1007/s12350-010-9214-6 · Cited by 22

Relation of Body Mass Index to Bleeding During Percutaneous Coronary Interventions

Ndrepepa, G., Fusaro, M., Cassese, S., Guerra, E., Schunkert, H., & Kastrati, A. (2014) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2014.11.022 · Cited by 22

Survival of the fattest: unexpected findings about hyperglycaemia and obesity in a population based study of 75-year-olds

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Body mass index, carotid plaque, and clinical outcomes in patients with coronary artery disease

Park, H. W., Kim, K., Song, I. G., Kwon, T., Kim, W. H., & Bae, J. (2017) · Coronary Artery Disease · doi:10.1097/mca.0000000000000467 · Cited by 20

Impact of body mass index on short-term outcome after acute myocardial infarction: Does excess body weight have a paradoxical protective role?

Nicoletti, I., Cicoira, M., Morando, G., Benazzi, C., Prati, D., Morani, G., Rossi, A., Zardini, P., & Vassanelli, C. (2005) · International Journal of Cardiology · doi:10.1016/j.ijcard.2005.04.005 · Cited by 20

Outcomes in Patients with Obesity and Coronary Artery Disease with and Without Bariatric Surgery

Pirlet, C., Voisine, P., Poirier, P., Cieza, T., Ruzsa, Z., Bagur, R., Julien, F., Hould, F., Biertho, L. D., & Bertrand, O. F. (2020) · Obesity Surgery · doi:10.1007/s11695-020-04467-7 · Cited by 19

The relationship of obesity to ischemic outcomes following coronary stent placement in contemporary practice

Martin, J. L., Jia, G., Martin, S. S., Shapiro, T. A., Herrmann, H. C., DiBattiste, P. M., Topol, E. J., & Moliterno, D. J. (2006) · Catheterization and Cardiovascular Interventions · doi:10.1002/ccd.20622 · Cited by 19

Obesity paradox in patients undergoing coronary intervention: A review

Patel, N., Elsaid, O., Shenoy, A., Sharma, A., & McFarlane, S. I. (2017) · World Journal of Cardiology · doi:10.4330/wjc.v9.i9.731 · Cited by 20

Association of obesity with arterial stiffness: The Multi-Ethnic Study of Atherosclerosis (MESA)

Logan, J. G., Kang, H., Kim, S., Duprez, D. A., Kwon, Y., Jacobs, D. R., Forbang, N. I., Mason, J. E., & Sohn, M. (2020) · Vascular Medicine · doi:10.1177/1358863x20918940 · Cited by 19

The Relationship of Body Mass Index to Outcomes after Percutaneous Coronary Intervention

Shubair, M. M., Prabhakaran, P., Pavlova, V., Velianou, J. L., Sharma, A. M., & Natarajan, M. K. (2006) · Journal of Interventional Cardiology · doi:10.1111/j.1540-8183.2006.00189.x · Cited by 18

Impact of Body Mass Index on Outcome in Patients Undergoing Carotid Stenting

Gurm, H. S., Fathi, R. B., Kapadia, S. R., Abou‐Chebl, A., Vivek, D. P., Bajzer, C., & Yadav, J. S. (2005) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2005.07.100 · Cited by 18

Higher body mass index at the time of acute myocardial infarction is associated with a favorable long-term prognosis (8-year follow-up)

Ikeda, N., Nakajima, R., Utsunomiya, M., Hori, M., Itaya, H., Makino, K., Ono, T., Yamamoto, M., Nemoto, N., Iijima, R., et al. (2011) · Heart and Vessels · doi:10.1007/s00380-010-0083-3 · Cited by 17

Inverse relationship between the body mass index and severity of carotid siphon calcifications (another obesity paradox): Results from the Atahualpa Project

Brutto, Ó. H. D., & Mera, R. M. (2017) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2017.02.023 · Cited by 16

Obesity Paradox in the Intrahospital and Follow-Up Phases of the Acute Coronary Syndrome: A Meta-Analysis and Systematic Review

Jelavić, M. M., Babić, Z., & Pintarić, H. (2023) · Cardiology · doi:10.1159/000531985 · Cited by 15

The effect of weight loss on the outcome after coronary artery bypass grafting in obese patients

Nader, N. D., Kocz, R., Hassan, M., Perala, P., Negargar, S., & Javadzadegan, H. (2012) · Annals of Cardiac Anaesthesia · doi:10.4103/0971-9784.97975 · Cited by 15

Diabetes, hypertension, overweight and hyperlipidemia and 7-day case-fatality in first myocardial infarction

Quintana, H. K., Janszky, I., Gigante, B., Druid, H., Ahlbom, A., Hallqvist, J., Fairé, U. D., & Leander, K. (2016) · IJC Metabolic & Endocrine · doi:10.1016/j.ijcme.2016.05.009 · Cited by 12

Clinical Implication of ‘Obesity Paradox’ in Elderly Patients With Acute Myocardial Infarction

Kim, H.-T., Jung, S.-Y., Nam, J., Lee, J., Lee, C., Son, J., Kim, U., Park, J., Shin, D., Her, S., et al. (2020) · Heart Lung and Circulation · doi:10.1016/j.hlc.2020.08.013 · Cited by 12

Body Mass Index and In-Hospital Management and Outcomes of Acute Myocardial Infarction

Patlolla, S. H., Gurumurthy, G., Sundaragiri, P. R., Cheungpasitporn, W., & Vallabhajosyula, S. (2021) · Medicina · doi:10.3390/medicina57090926 · Cited by 12

Comparison of long‐term mortality according to obesity in patients with successful percutaneous chronic total occlusion interventions using drug‐eluting stents

Won, K., Yoon, H., Lee, S., Cho, Y., Nam, C., Hur, S., Lee, S., Lee, P.-H., Ahn, J., Park, D., et al. (2017) · Catheterization and Cardiovascular Interventions · doi:10.1002/ccd.27110 · Cited by 11

Body mass index and mortality in patients with severe coronary artery diseases: A cohort study from China

Feng, X., Zhang, C., Jiang, L., Xu, L., Tian, J., Zhao, X., Wang, D., Zhang, Y., Sun, K., Xu, B., et al. (2020) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2020.09.011 · Cited by 11

Effect of Obesity on Mortality and Morbidity AfterCoronary Artery Bypass Grafting Surgery in Iranian Patients

Ardeshiri, M., Faritous, Z., Haghighi, Z. O., Hosseini, S., & Baghaei, R. (2014) · Anesthesiology and Pain Medicine · doi:10.5812/aapm.18884 · Cited by 10

Impact of Body Mass Index on the One-Year Clinical Outcome of Patients Undergoing Multivessel Revascularization With Sirolimus-Eluting Stents (from the Arterial Revascularization Therapies Study Part II)††Conflicts of interest: Magdaleen Pieters, Kristel Wittebols, and Hans-Peter Stoll are employees of Cordis Corporation. Joost Daemen received a consultancy fee for his scientific contribution.

Khattab, A. A., Daemen, J., Richardt, G., Rioux, P., Wolfgang, A. F., Levy, R., Horváth, I., Teles, R. C., Ordoubadi, F., Pieters, M., et al. (2008) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2008.02.034 · Cited by 10

Does the influence of obesity on prognosis differ in men and women? A study of obesity paradox in patients with acute coronary syndrome

Migaj, J., Prokop, E. K., Straburzyńska‐Migaj, E., Lesiak, M., Grajek, S., & Mitkowski, P. P. (2015) · Kardiologia Polska · doi:10.5603/kp.a2015.0087 · Cited by 10

Combined effect of age and body mass index on postoperative mortality and morbidity in laparoscopic cholecystectomy patients

Fakhoury, H. M. A., Yousef, Z. A., Tamim, H., Daher, S., Attasi, A. A., Ajlan, A. A., & Hajeer, A. H. (2023) · Frontiers in Surgery · doi:10.3389/fsurg.2023.1243915 · Cited by 9

Impact of body mass index on long-term all-cause mortality after percutaneous coronary intervention in African-Americans.

Poludasu, S., Çavuşoğlu, E., Khan, W., & Marmur, J. D. (2009) · PubMed · Cited by 9

The impact of metabolic syndrome and its components on perioperative outcomes after elective laparotomy - A prospective observational study

Laou, E., Milionis, H. J., Petrou, A., Arnaoutoglou, E. M., Glantzounis, G. K., Bairaktari, E. T., Mavridis, D., Mikhailidis, D. P., Papadopoulos, G., & Tzimas, P. G. (2017) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2017.02.018 · Cited by 9

Effects of Weight Change on Clinical Outcomes in Overweight and Obese Patients with Acute Myocardial Infarction Who Underwent Successful Percutaneous Coronary Intervention

Kang, W. Y., Hwang, S. H., Hwang, S. H., Kim, W., Park, K. H., Hong, Y. J., Kim, J. H., Ahn, Y., & Jeong, M. H. (2012) · Chonnam Medical Journal · doi:10.4068/cmj.2012.48.1.32 · Cited by 9

Impact of metabolic syndrome and C-reactive protein on outcome after coronary stenting

Iturry-Yamamoto, G. R., Zago, A., Moriguchi, E. H., Manfrói, W. C., Camargo, J. L., Gross, J. L., & Zago, A. (2009) · Journal of Endocrinological Investigation · doi:10.1007/bf03345730 · Cited by 9

Body Mass Index and Outcome of Acute Myocardial Infarction - Is There an Obesity Paradox?

Cheng, C. C., Huang, W. C., Chiou, K.-R., Kuo, F. Y., Chiang, C., Yang, J., Lin, K., Hsiao, S.-H., Hwang, H.-R., Mar, G.-Y., et al. (2013) · Europe PMC (PubMed Central) · Cited by 8

No correlation between body mass index and 30-day prognostic outcome in Asians with acute ST-elevation myocardial infarction undergoing primary coronary intervention

Wu, P., Wang, H., Sung, P., Tong, M., Yang, C., Chen, C.-J., Lin, C.-J., Hsueh, S., Chung, S., Chung, W.-J., et al. (2017) · Biomedical Journal · doi:10.1016/j.bj.2016.12.002 · Cited by 8

Clustering of Metabolic Abnormalities Among Obese Patients and Mortality After Percutaneous Coronary Intervention

Bashey, S., Muntner, P., Kini, A. S., Esquitin, R., Razzouk, L., Mathewkutty, S., Wildman, R. P., Carson, A. P., Kim, M. C., Moreno, P., et al. (2011) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2011.01.012 · Cited by 7

The Thicker the Skin Fold, the Less Hematoma Development: A Novel Parameter Other Than Body Mass Index Associated With Transradial Vascular Complication

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Lower Lean Mass Is Associated with Greater Arterial Stiffness in Patients with Lower Extremity Artery Disease

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Predictive Factors of Major Adverse Cardiac Events and Clinical Outcomes of Acute Myocardial Infarction in Young Korean Patients

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Do overweight patients have a better five years prognosis after an acute myocardial infarction treated with coronary intervention?

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Endothelial Progenitor Cells: Properties, Function, and Response to Toxicological Stimuli

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Complications des obésités

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Relationship of obesity to adverse events in myocardial infarction patients without primary percutaneous coronary intervention: results from the Occluded Artery Trial (OAT)

Xing, Z., Pei, J., Huang, J., Hu, X., & Gao, S. (2019) · Current Medical Research and Opinion · doi:10.1080/03007995.2019.1603993 · Cited by 6

Predicting and preventing vascular complications following percutaneous coronary intervention in women

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Impact of neurohormonal blockade on association between body mass index and mortality

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Voie d’abord radiale en cardiologie interventionnelle chez la femme

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The impact of body composition on functional recovery, mortality, and survival: a systematic review of research conducted in a cohort of stroke survivors

Ewah, P. A., Badaru, U. M., Abba, M. A., & Womboh, I. (2024) · The Egyptian Journal of Neurology Psychiatry and Neurosurgery · doi:10.1186/s41983-024-00888-8 · Cited by 5

Genomic Analysis of an Obesity Paradox: A Microarray Study of the Aortas of Morbidly Obese Decedents With Mild and Severe Atherosclerosis

Brodsky, S. V., Ganju, R. K., Mishra, S., Ivanov, I., Fadda, P., Wang, H., & Barth, R. F. (2019) · Critical Pathways in Cardiology A Journal of Evidence-Based Medicine · doi:10.1097/hpc.0000000000000169 · Cited by 5

Interrelation between the relative fat mass index and other obesity indices in predicting clinical severity and prognosis of acute myocardial infarction

Jelavić, M. M., Babić, Z., & Pintarić, H. (2020) · Advances in Interventional Cardiology · doi:10.5114/aic.2020.96064 · Cited by 5

An unexpected paradox: wall shear stress in the aorta is less in patients with severe atherosclerosis regardless of obesity

Qaisar, S., Brodsky, L., Barth, R. F., Leier, C. V., Buja, L. M., Yildiz, V. O., Mo, X. M., Allenby, P., Moore, S., Ivanov, I., et al. (2020) · Cardiovascular Pathology · doi:10.1016/j.carpath.2020.107313 · Cited by 5

Rolle des Körpergewichts für die Prävention der koronaren Herzkrankheit

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Obesity Paradox - The Controversial Role of Body Mass Index and Plasma Adiponectin in Coronary Artery Disease and Acute Coronary Syndrome.

Lin, C.-F., & Chen, J. (2013) · Europe PMC (PubMed Central) · Cited by 4

Assessment of transabdominal fat volumes as a predictor of prognosis in patients undergoing transcatheter aortic valve replacement

Güler, A., Genç, Ö., Yıldırım, A., Urgun, Ö. D., Erdoğan, A., Dılek, O., Şen, Ö., Gülek, B., & Kurt, İ. H. (2024) · The International Journal of Cardiovascular Imaging · doi:10.1007/s10554-024-03079-x · Cited by 4

Relation of body mass index to bleeding events among patients with percutaneous coronary intervention: A meta-analysis

Lin, G., Li, Y.-H., Lin, C., Wang, J., & Han, C. (2013) · International Journal of Cardiology · doi:10.1016/j.ijcard.2013.07.006 · Cited by 4

Influence of diabetes and obesity on ten-year outcomes after coronary artery bypass grafting in the arterial revascularisation trial

Stefil, M., Gaudino, M. F. L., Benedetto, U., Gerry, S., Gray, A. M., Lees, B., Podesser, B. K., Krzych, Ł. J., Sajja, L. R., Taggart, D. P., et al. (2023) · Clinical Research in Cardiology · doi:10.1007/s00392-023-02284-3 · Cited by 4

Metabolic syndrome does not impact survival in patients treated for coronary artery disease

Shah, B., Kumar, N., Garg, P. K., Kang, E., Grossi, E. A., Lorin, J. D., Schwartzbard, A. Z., MASS, H. J., Danoff, A., & Sedlis, S. P. (2008) · Coronary Artery Disease · doi:10.1097/mca.0b013e3282f35914 · Cited by 4

Percutaneous Coronary Intervention and the Obesity Paradox

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The Effect of Body Mass Index on Rehabilitation of Patients with Amputation

Burke, D. T., Al‐Adawi, S., Jain, N. B., & Burke, D. P. (2018) · JPO Journal of Prosthetics and Orthotics · doi:10.1097/jpo.0000000000000208 · Cited by 3

Nonfatal Stroke and All-Cause Mortality among Community-Dwelling Older Adults Living in Rural Ecuador: A Population-Based, Prospective Study

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Clinical Impact of Non-High Density Lipoprotein-Cholesterol and Apolipoprotein B on Clinical Outcomes in Metabolic Syndrome Patients With Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention

Ahmed, K., Jeong, M. H., Chakraborty, R., Hong, Y. J., Oh, M. S., Cho, K. H., Kim, M. C., Hachinohe, D., Hwang, S. H., Lee, M. G., et al. (2012) · Korean Circulation Journal · doi:10.4070/kcj.2012.42.5.319 · Cited by 2

In Cardiogenic Shock, Overweight and Obesity Have the Lowest, Whereas Cachexia Has the Highest Mortality

Movahed, M. R., Mahalleh, M., Sadin, Z., & Hashemzadeh, M. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14155275 · Cited by 2

The Characteristics and Clinical Outcomes of Direct Oral Anticoagulantsin Patients with Atrial Fibrillation and Chronic Kidney Disease: From the Database of A Single-Center Registry

Lakkireddy, D. (2020) · Journal of Atrial Fibrillation · doi:10.4022/jafib.2308 · Cited by 2

Association Between Body Surface Area and Outcomes After Percutaneous Coronary Intervention

Shetabi, K., Nfor, T., Shen, F., Gupta, A., BAJWA, T. K., & Allaqaband, S. Q. (2015) · Journal of patient-centered research and reviews · doi:10.17294/2330-0698.1048 · Cited by 2

Different degrees of overweight: anthropometric indices in patients with coronary heart disease

Chang, S., Chu, C., Lin, P.-C., Pan, K., Cheng, H.-W., Yang, T., Chung, C., & Hsu, J. (2009) · Acta Cardiologica · doi:10.2143/ac.64.3.2038012 · Cited by 2

ACUTE MYOCARDIAL INFARCTION IN FUKUSHIMA AREA OF JAPAN

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Impact of Body Mass Index on Short-Term Outcomes in Patients Undergoing Percutaneous Coronary Intervention in Newfoundland and Labrador, Canada

Gregory, A. B., Lester, K. K., Gregory, D. M., Twells, L., Midodzi, W. K., & Pearce, N. J. (2016) · Cardiology Research and Practice · doi:10.1155/2016/7154267 · Cited by 2

Relationship Between Serum Eicosapentaenoic Acid to Arachidonic Acid Ratio and Atherosclerotic Risk Factors in Patients With Peripheral Artery Disease

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An analysis of underweight status on 30-day outcomes after breast reconstruction

Halen, J. P. V., & Eid, A. A. (2015) · Plastic and Aesthetic Research · doi:10.4103/2347-9264.171423 · Cited by 1

Diagnostic Coronary Angiography

Sakhuja, R., & Gandhi, S. (2014) · Springer eBooks · doi:10.1007/978-3-642-37393-0_40-1 · Cited by 1

Intervenciones coronarias percutáneas en pacientes diabéticos

Palacios, I. F. (2025) · Revista Argentina de Cardiología · doi:10.7775/rac.v77i6.2235 · Cited by 1

Diagnostic Coronary Angiography

Sakhuja, R., & Gandhi, S. (2015) · Springer eBooks · doi:10.1007/978-3-642-37078-6_40 · Cited by 1

RELATIONSHIP BETWEEN BMI AND SEVERITY OF CORONARY ARTERY DISEASE IN FEMALE POPULATION OF PAKISTANI ORIGIN

Khan, H. S., Javed, A., Aziz, S., & Ali, J. (2012) · Pakistan Heart Journal · Cited by 1

Height is Inversely Associated with Biomarkers of Intracranial Atherosclerotic Disease in Older Adults of Amerindian Ancestry: Exploring the Obesity Paradox

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Obesity not associated with medium-term prognosis among Japanese male survivors hospitalized for acute myocardial infarction.

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Obesity and Atherosclerotic Vascular Disease

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Obesity paradox seen in cardiogenic shock with overweight and obesity having the lowest, whereas cachexia has the highest mortality using the large Nationwide Inpatient Sample (NIS) databasePreprint

Movahed, M. R., Mahalleh, M., & Hashemzadeh, M. (2025) · medRxiv · doi:10.1101/2025.05.05.25327024 · Cited by 1

Einfluss körperlichen Übergewichts auf die Entwicklung einer kardialen Hypertrophie und die kardialen Umbauprozesse nach experimenteller Myokardischämie

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Variations in Coronary Procedure Utilization Depending on Body Mass Index

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