Impact of rapid weight loss on risk reduction of developing arterial hypertension in severely obese subjects undergoing bariatric surgery. A single institution experience utilizing the Framingham Hypertension Risk Score

Background Morbid obesity is strongly associated with hypertension. Objective The objective of this study is to compare the risk of developing hypertension prior to and following bariatric surgery. Setting United States University Hospital Methods We retrospectively reviewed all patients who underwent bariatric surgery from 2010 to 2015 at our institution. Non-hypertensive white individuals without diabetes at baseline were included in our study. The Framingham hypertension risk score was used to predict the near term incidence of the disease. This calculator predicts 1-, 2-, and 4-year incidence of hypertension. Results Four hundred and seventy-five patients met the criteria for the hypertension risk score calculation. Females composed 72% (n=342) of our population with a mean age of 42.6±11.6 years. Laparoscopic sleeve gastrectomy (SG) was the most prevalent procedure at 81.89% (n=389). At 12 months follow-up, the 1-year absolute risk reduction (ARR) and the relative risk reduction (RRR) were 6.2% and 69.2% (p Conclusions Sleeve gastrectomy and RYGB significantly diminish the risk of developing hypertension in morbidly obese patients. Prospective studies are needed to better comprehend these findings.