Journal
MEDICAL CLINICS OF NORTH AMERICA
Volume 88, Issue 5, Pages 1273-+Publisher
W B SAUNDERS CO
DOI: 10.1016/j.mcna.2004.04.011
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Funding
- NHLBI NIH HHS [2K24 HL04334, N01-HC-25195] Funding Source: Medline
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Obesity has reached epidemic proportions in the United States and worldwide. Heart failure (HF) is also a major public health problem, which, despite therapeutic advances, is associated with substantial mortality The adverse impact of obesity on the cardiovascular system is being increasingly recognized, and includes a hyperdynamic circulation, subclinical cardiac structural and functional changes, and overt HE At the same time, the possible protective effect of obesity in patients with established HF has been emphasized in recent studies. This article reviews evidence from epidemiologic studies evaluating the impact of over-weight and obesity on the risk of HF, appraises published data on the prognostic significance of overweight and obesity after the onset of HE, describes the potential mechanisms underlying these associations, speculates on the clinical implications of current evidence, and suggests directions for future research.
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