Background
Obesity (BMI >30) is a global pandemic associated with cardiovascular disease (CVD), increased morbidity and mortality, decreased life expectancy, and multiple comorbidities. It alters cardiac structure and function, causes circulatory changes, and leads to endothelial dysfunction. In addition, it impairs the assessment of CVD by reducing the sensitivity of the physical exam, causing alterations in the electrocardiogram (EKG), reducing exercise tolerance, and affecting the resolution of imaging studies.
Aim
In this study, we aim to evaluate the impact of obesity on efficacy and cost-effectiveness of cardiac stress testing.