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评估心力衰竭:减重手术的潜在影响。

Weighing in on heart failure: the potential impact of bariatric surgery.

机构信息

Department of Internal Medicine, Division of Cardiology, Thomas Jefferson University, Philadelphia, PA, USA.

Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.

出版信息

Heart Fail Rev. 2022 May;27(3):755-766. doi: 10.1007/s10741-021-10078-w. Epub 2021 Jan 25.

Abstract

Obesity is a growing worldwide epidemic with significant economic burden that carries with it impacts on every physiologic system including the cardiovascular system. Specifically, the risk of heart failure has been shown to increase dramatically in obese individuals. The purpose of this review is to provide background on the individual burdens of heart failure and obesity, followed by exploring proposed physiologic mechanisms that interconnect these conditions, and furthermore introduce treatment strategies for weight loss focusing on bariatric surgery. Review of the existing literature on patients with obesity and heart failure who have undergone bariatric surgery is presented, compared, and contrasted.

摘要

肥胖是一种在全球范围内日益严重的流行疾病,它带来了巨大的经济负担,对包括心血管系统在内的每个生理系统都有影响。具体来说,肥胖者患心力衰竭的风险显著增加。本综述的目的是提供心力衰竭和肥胖个体各自负担的背景信息,探讨将这些情况联系起来的生理机制,并进一步介绍针对肥胖症的治疗策略,重点是减重手术。本文介绍、比较和对比了接受减重手术的肥胖合并心力衰竭患者的现有文献综述。

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