Recent evidence has shown a “paradoxical” decrease in morbidity and mortality with increasing body mass index (BMI), in patients with heart failure. However, the impact of BMI in patients with idiopathic pulmonary arterial hypertension (IPAH) remains poorly understood.

In a study entitled “Survival advantages of excess body mass index in patients with idiopathic pulmonary arterial hypertension,” recently published in the journal Acta Cardiologica, Hu Ec and colleagues examined whether BMI is a prognostic factor in IPAH.