Elbaz-Greener G, Rozen G, Carasso S, et al. - This study’s findings demonstrate that a J-shaped association between body mass index (BMI) and mortality was documented in patients hospitalized for an acute myocardial infarction (AMI) in recent years. These outcomes validate that the “obesity paradox” persists during the contemporary era of AMI management.

• Researchers examined an estimated total of 125,405 hospitalizations for an AMI across the US.

• The under-weight, normal-weight and extremely obese groups presented with a non-ST segment elevation AMI (NSTEMI) more frequently and were less likely to undergo coronary revascularization compared to the other BMI subgroups.

• The results demonstrate a J-shaped association between BMI and study outcomes with lower mortality in patients with BMI over 25 compared to normal- and low-weight patients.

• BMI group was found to be an independent predictor of mortality in the multivariate regression model.