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Challenges in Cardiovascular Evaluation and Management of Obese Patients: JACC State-of-the-Art Review

Journal of the American College of Cardiology, 2023-02, Vol.81 (5), p.490-504 [Peer Reviewed Journal]

Copyright © 2023 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved. ;EISSN: 1558-3597 ;DOI: 10.1016/j.jacc.2022.11.031 ;PMID: 36725178

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  • Title:
    Challenges in Cardiovascular Evaluation and Management of Obese Patients: JACC State-of-the-Art Review
  • Author: Bianchettin, Rosana G ; Lavie, Carl J ; Lopez-Jimenez, Francisco
  • Subjects: Body Mass Index ; Cardiovascular Diseases - complications ; Cardiovascular Diseases - diagnosis ; Cardiovascular Diseases - therapy ; Humans ; Obesity - complications ; Obesity - therapy ; Overweight - complications ; Risk Factors
  • Is Part Of: Journal of the American College of Cardiology, 2023-02, Vol.81 (5), p.490-504
  • Description: Many unique clinical challenges accompany the diagnosis and treatment of cardiovascular disease (CVD) in people living with overweight/obesity. Similarly, physicians encounter numerous complicating factors when managing obesity among people with CVD. Diagnostic accuracy in CVD medicine can be hampered by the presence of obesity, and pharmacological treatments or cardiac procedures require careful adjustment to optimize efficacy. The obesity paradox concept remains a source of confusion within the clinical community that may cause important risk factors to go unaddressed, and body mass index is a misleading measure that cannot account for body composition (eg, lean mass). Lifestyle modifications that support weight loss require long-term commitment, but cardiac rehabilitation programs represent a potential opportunity for structured interventions, and bariatric surgery may reduce CVD risk factors in obesity and CVD. This review examines the key issues and considerations for physicians involved in the management of concurrent obesity and CVD.
  • Publisher: United States
  • Language: English
  • Identifier: EISSN: 1558-3597
    DOI: 10.1016/j.jacc.2022.11.031
    PMID: 36725178
  • Source: GFMER Free Medical Journals
    MEDLINE
    Alma/SFX Local Collection
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