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慢性和急性心力衰竭中的肥胖与炎症

Obesity and inflammation in chronic and acute heart failure.

作者信息

Cotter Gad, Petrie Mark C, Butler Javed, Davison Beth, Chioncel Ovidiu, Biegus Jan, Pagnesi Matteo, Voors Adriaan A, Metra Marco, Ponikowski Piotr, Mann Douglas, Bhatt Deepak L

机构信息

Université Paris Cité, INSERM UMR-S 942 (MASCOT), Paris, France.

Momentum Research Inc, Durham, NC, USA.

出版信息

Heart Fail Rev. 2025 May 3. doi: 10.1007/s10741-025-10518-x.

Abstract

Obesity and inflammation have been associated with an increased incidence of heart failure (HF) and death. However, until recent years, no therapy directed towards reducing inflammation and reducing obesity has been shown to reduce those adverse outcomes. Over the past few years, a few small studies have suggested that improving obesity-and in even smaller studies, reducing inflammation-may help improve HF severity, congestion, quality of life, and possibly outcomes. Larger studies that are being planned and executed, which will report their results within the next 2-3 years, should help further clarify the effects of weight and inflammation reduction in patients with HF.

摘要

肥胖和炎症与心力衰竭(HF)发病率及死亡率的增加有关。然而,直到近年来,尚无针对减轻炎症和肥胖的治疗方法被证明能减少这些不良后果。在过去几年中,一些小型研究表明,改善肥胖——在规模更小的研究中,减轻炎症——可能有助于改善HF的严重程度、充血情况、生活质量,并可能改善预后。正在计划和实施的大型研究将在未来两到三年内报告其结果,这应有助于进一步阐明减轻体重和炎症对HF患者的影响。

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