Metabolic Surgery for Hypertension in Patients With Obesity
| Autor: | Manan Pareek, Carlos Aurelio Schiavon, Philip R. Schauer, Deepak L. Bhatt |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Physiology Bariatric Surgery Blood Pressure 030204 cardiovascular system & hematology Overweight Risk Assessment law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Risk Factors law Weight loss Weight Loss medicine Humans Obesity 030212 general & internal medicine Intensive care medicine Antihypertensive Agents Glycemic Evidence-Based Medicine business.industry Patient Selection medicine.disease Treatment Outcome Blood pressure Hypertension Observational study medicine.symptom Cardiology and Cardiovascular Medicine Weight Loss Surgery business |
| Zdroj: | Circulation Research. 124:1009-1024 |
| ISSN: | 1524-4571 0009-7330 |
| DOI: | 10.1161/circresaha.118.313320 |
| Popis: | The global prevalence of overweight and obesity has risen substantially over the past 4 decades and is accompanied by an increasing burden of cardiovascular risk factors such as hypertension. Metabolic surgery is the most effective method to treat obesity and may further improve associated conditions. Although most research has been directed toward the glycemic effects of weight loss surgery, there has been a growing interest in exploring its potential blood pressure–reducing properties. Systematic reviews and meta-analyses based primarily on observational data have suggested that metabolic surgery may aid in controlling hypertension. Only one randomized controlled trial specifically addressing this concept has been conducted, though supportive of the findings from observational studies. We review contemporary procedures for weight loss and their effects on cardiometabolic risk, particularly hypertension. In addition, we describe potential pathophysiological mechanisms and the effects of metabolic surgery on cardiovascular events and mortality. |
| Databáze: | OpenAIRE |
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