The obesity paradox has been recently challenged in the literature to spotlight a vague and ill-defined relationship between obesity extremes and cardiac morbidity and mortality. Patient size and incision size both remain important determinants of outcomes. Today, with obesity rates rising around the world, extremely obese patients require experienced teams and substantially improved care.

中文翻译：

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尺寸确实很重要：然而，在微创心脏手术中，BMI 极端值是可控的

肥胖悖论最近在文献中受到挑战，以突出肥胖极端与心脏病发病率和死亡率之间的模糊和不明确的关系。患者大小和切口大小仍然是结果的重要决定因素。如今，随着全球肥胖率的上升，极度肥胖的患者需要经验丰富的团队和显着改善的护理。