The Obesity Paradox, Heart Surgery, and Blood Transfusion

By July 18, 2016Articles

Linda photo 200pxLinda Mongero, CCP
Director of Education and Clinical Performance
July 18, 2016

Historically, there has not been a great understanding about the “obesity paradox,” which suggests that overweight and obese patients may have better outcomes than normal weight patients who undergo cardiac bypass surgery. Our newly published research confirms that while overweight and mildly obese patients do experience less blood transfusion and post-surgical bleeding than patients of normal weight, much of the observed reduction in transfusion rates in obese patients can be accounted for by other known confounds. The lack of linear effect of increasing BMI on blood transfusion risk is a novel finding and warrants additional research.

The full, peer-reviewed research is now available in the journal, Perfusion. An abstract of the findings was first presented at the 37th Annual Meeting of the American Academy of Cardiovascular Perfusion (AACP) in February 2016.

Linda Mongero

About Linda Mongero

Linda Mongero, CCP, Director of Education and Clinical Performance, works to advance SpecialtyCare’s pursuit of clinical excellence. Prior to joining SpecialtyCare, she served as Director of Clinical Perfusion at The New York Presbyterian Hospital / Columbia University Medical Center. She also served as President of the American Board of Cardiovascular Perfusion (ABCP) and the American Academy of Cardiovascular Perfusion. Linda is a member of the American Society of ExtraCorporeal Technology (AmSECT) Quality Assurance Committee and is an advisor to the New York State Board of Health. She has presented more than 200 abstracts and articles in the literature.