Heart Failure, Angina, and Obesity

Obesity is a significant risk factor for both heart failure and angina, contributing to the development and progression of these conditions through multiple mechanisms. Excess body weight increases the workload on the heart, leading to left ventricular hypertrophy and diastolic dysfunction, both of which are precursors to heart failure. Additionally, obesity is associated with a higher prevalence of hypertension, diabetes, and dyslipidemia, all of which contribute to coronary artery disease and angina.

Management of heart failure and angina in obese patients involves addressing the underlying risk factors through lifestyle modifications, such as weight loss, dietary changes, and increased physical activity. Bariatric surgery may be considered in selected patients with morbid obesity and refractory symptoms, as it has been shown to improve cardiovascular outcomes. A comprehensive approach that includes weight management and treatment of comorbidities is essential for optimizing care in this population.

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