Climent Elisenda, Oliveras Anna, Pedro-Botet Juan, Goday Albert, Benaiges David
Endocrinology Department, Hospital Universitari del Mar, 08003 Barcelona, Spain.
IMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain.
J Clin Med. 2021 Sep 7;10(18):4049. doi: 10.3390/jcm10184049.
A clear pathogenetic association exists between obesity and arterial hypertension, becoming even more evident in subjects with severe obesity. Bariatric surgery has proved to be the most effective treatment for severe obesity, with its benefits going beyond weight loss. The present review aimed to determine the effects of bariatric surgery on arterial hypertension evident in short- and long-term follow-ups. Moreover, the differences between surgical techniques regarding hypertension remission are described as well as the possible pathophysiologic mechanisms involved. In addition, the effects of bariatric surgery beyond blood pressure normalization are also analyzed, including those on target organs and cardiovascular morbidity and mortality.
肥胖与动脉高血压之间存在明确的致病关联，在重度肥胖患者中这种关联更为明显。减肥手术已被证明是治疗重度肥胖最有效的方法，其益处不仅限于体重减轻。本综述旨在确定减肥手术在短期和长期随访中对明显的动脉高血压的影响。此外，还描述了手术技术在高血压缓解方面的差异以及可能涉及的病理生理机制。此外，还分析了减肥手术在血压正常化之外的影响，包括对靶器官以及心血管发病率和死亡率的影响。
