Obesity is a common diagnosis among heart failure patients and is present in a majority
of those with preserved ejection fraction [
[1]
]. Severe obesity promotes heart failure through its association with several cardiovascular
risk factors, including type 2 diabetes, dyslipidemia, sleep apnea, and systemic hypertension.
Besides obesity-associated cardiovascular risk factors, obesity, particularly severe
obesity, induces a variety of adaptations/alterations in cardiac structure and function
that may progressively lead to the development of heart failure. Additionally, several
metabolic, inflammatory, and neurohormonal changes associated with severe obesity
may contribute with impairment of the cardiovascular system.To read this article in full you will need to make a payment
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References
- Obesity and cardiovascular disease: a scientific statement from the American Heart Association.Circulation. 2021; 143: e984-e1010
- Success (but unfinished) story of metabolic surgery.Diabetes care. 2020; 43: 1175-1177
- Association of metabolic surgery with major adverse cardiovascular outcomes in patients with type 2 diabetes and obesity.JAMA. 2019; 322: 1271-1282
- Association of metabolic surgery with major adverse cardiovascular outcomes in patients with previous myocardial infarction and severe obesity: a nationwide cohort study.Circulation. 2021; 143: 1458-1467
- Bariatric surgery and cardiovascular outcomes in patients with obesity and cardiovascular disease: a population-based retrospective cohort study.Circulation. 2021; 143: 1468-1480
Article info
Publication history
Published online: January 02, 2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
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- Bariatric surgery improves outcomes of hospitalizations for acute heart failure: a contemporary, nationwide analysisSurgery for Obesity and Related DiseasesOpen Access
