Todd Miller M, Lavie Carl J, White Christopher J
Ochsner Heart and Vascular Institute, Ochsner Medical Center, New Orleans, LA70121-2483, USA.
J Cardiometab Syndr. 2008 Summer;3(3):162-7. doi: 10.1111/j.1559-4572.2008.00004.x.
Obesity has a significant adverse effect on coronary heart disease (CHD) risk factors, including hypertension, dyslipidemia, and the metabolic syndrome/diabetes. Obesity is an independent risk factor for CHD events; however, obese patients with CHD generally have a more favorable prognosis, with the worst prognosis associated with either underweight or morbidly obese patients. In this manuscript, the authors review the impact of obesity on overall CHD risk as well as the prognosis of obese patients with established CHD.
肥胖对冠心病（CHD）的危险因素有显著的不利影响，包括高血压、血脂异常以及代谢综合征/糖尿病。肥胖是冠心病事件的独立危险因素；然而，患有冠心病的肥胖患者通常预后较好，预后最差的是体重过轻或病态肥胖的患者。在本手稿中，作者回顾了肥胖对冠心病总体风险的影响以及已确诊冠心病的肥胖患者的预后情况。
