Severe Obesity among Patients with Left Ventricular Assist Devices

BackgroundPatients with obesity and advanced heart failure requiring left ventricular assist device (LVAD) support are more likely to experience LVAD complications and may be disproportionately Black and/or female when compared to patients without obesity. Among these patients, obesity may represent a barrier to transplant eligibility and a marker of inequity in heart transplantation and health outcomes in advanced heart failure.MethodsTo better understand this issue at our institution, we examined our active LVAD cohort and found that almost one-third of all patients had severe obesity with BMI ≥ 35 kg/m2.ResultsPatients with LVADs and severe obesity were significantly younger and more likely to self-identify as Black, and numerically more likely to be female.ConclusionWeight management in this group represents a vital area for improved equity in health outcomes and barriers to heart transplantation.Trial RegistrationNA.