Heart failure and obesity

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Abstract

Obesity is an independent predictor of cardiovascular diseases (CVD), including heart failure (HF). Nevertheless, numerous studies have shown that patients with CVD who are overweight and slightly obese have a better short-term and moderate prognosis than thinner patients with CVD. This phenomenon has been called the “obesity paradox”. Understanding the “obesity paradox” is important in patients with HF, given the high prevalence of obesity in patients with HF. The article presents an overview of clinical studies devoted to the study of obesity as a risk factor for HF, the pathogenesis of HF in obesity, and highlights the issues of the “obesity paradox” and the treatment of obesity in this category of patients.

About the authors

Alfiya A. Safiullina

Chazov National Medical Research Center of Cardiology

Author for correspondence.
Email: a_safiulina@mail.ru
ORCID iD: 0000-0003-3483-4698

канд. мед. наук, науч. сотр. отд. заболеваний миокарда и сердечной недостаточности

Russian Federation, Moscow

Tatiana M. Uskach

Chazov National Medical Research Center of Cardiology; Russian Medical Academy of Continuous Professional Education

Email: a_safiulina@mail.ru
ORCID iD: 0000-0003-4318-0315

д-р мед. наук, вед. науч. сотр. отд. заболеваний миокарда и сердечной недостаточности; проф. каф. кардиологии

Russian Federation, Moscow; Moscow

Karina M. Saipudinova

Chazov National Medical Research Center of Cardiology

Email: a_safiulina@mail.ru
ORCID iD: 0000-0002-3757-1160

врач-аспирант отд. заболеваний миокарда и сердечной недостаточности

Russian Federation, Moscow

Sergey N. Tereshchenko

Chazov National Medical Research Center of Cardiology; Russian Medical Academy of Continuous Professional Education

Email: a_safiulina@mail.ru
ORCID iD: 0000-0001-9234-6129

д-р мед. наук, проф., рук. отд. заболеваний миокарда и сердечной недостаточности; зав. каф. кардиологии

Russian Federation, Moscow; Moscow

Irina E. Chazova

Chazov National Medical Research Center of Cardiology

Email: a_safiulina@mail.ru
ORCID iD: 0000-0002-9822-4357

акад. РАН, д-р мед. наук, проф., зам. ген. дир. по научно-экспертной работе, рук. отд. гипертонии

Russian Federation, Moscow

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