Studies have shown a clinical phenomenon called as obesity paradox, where a lower risk of mortality or better survival have been observed in obese person within a clinical subpopulation(5). Although in general population, risk of mortality associated with obesity remains high among persons who already have heart failure, it has been suggested that some protection against mortality is offered by adiposity(6). For a wide range of cardiovascular diseases, including myocardial infarction, hypertension, there is a paradoxical benefit of obesity observed on those who have had a coronary bypass, peripheral vascular disease, atrial fibrillation, aortic stenosis, and patient with cardiac implants and other coronary syndromes (ACS) (7). This paradox
