Abstract
Overweight along with obesity are closely associated with an elevated risk of cardiovascular diseases as well as coronary artery disease. The subsequent consequence of obesity per se and the other associated medical conditions such as hypertension, glucose intolerance, diabetes, insulin resistance, sleep apnoea syndrome, etc. are put further deteriorating effect on human health. While, in the case of already existing cardiovascular diseases, the overweight and obese patients are often shows less mortality in compares to normal weight and underweight individual which is further termed as “obesity paradox.” The underlying principle mechanism of the obesity paradox is not yet properly identified although several hypotheses are put forward for explaining the above-mentioned phenomena. Adipose tissue is now also well recognized as an endocrine organ, producing different potential chemical messengers, such as adipokines and adipocytokines. The knowledge of novel adipokines and adipocytokines are tremendously helped to understand the consequence of cardiovascular diseases (CVDs), obesity and metabolic syndrome. The precise roles played by this chemical messenger are particularly important to unfold the obesity-mediated consequence of inflammatory response, cardiac function, metabolism, satiety and other functions. Adipokines are particularly important to homoeostatic balance resulting in substantial benefits of angiogenesis, cardio-protection, endorsing endothelial function, and reducing hypertension, risk of atherosclerosis and inflammation. Considering the predominance of cardiovascular risk in obese individual, regular cardiology screening, and examination is of utmost important for the early diagnosis and treatment of sub-clinical medical conditions.
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References
Alpert MA, Omran J, Bostick BP (2016) Effects of obesity on cardiovascular hemodynamics, cardiac morphology, and ventricular function. Curr Obes Rep 5(4): 424-434
Alpert MA (2001) Obesity cardiomyopathy: pathophysiology and evolution of the clinical syndrome. Am J Med Sci 321: 225-236
Bays HE, Seger J, Primack C (2018) Obesity algorithm, presented by the Obesity Medicine Association. obesityalgorithm.org; Accessed on 10th June 2018
Carbone S, Canada JM, Billingsley HE, Siddiqui MS, Elagizi A, Lavie CJ (2019) Obesity paradox in cardiovascular disease: where do we stand? Vasc Health Risk Manag 15: 89-100
Chakko S, Mayor M, Allison MD, Kessler KM, Materson BJ, Myerburg RJ (1991) Abnormal left ventricular diastolic filling in eccentric left ventricular hypertrophy of obesity. Am J Cardiol 68: 95-98
Csige I, Ujvárosy D, Szab Z, Lőrincz I, Paragh G, Harangi M, Somodi S (2018) The impact of obesity on the cardiovascular system. J Diabetes Res 1-12
Ebong IA, Goff Jr DC, Rodriguez CJ, Chen H, Bertoni AG (2014) Mechanisms of heart failure in obesity. Obes Res Clin Pract 8(6) e540-e548
El-Gamal A, Gallagher D, Nawras A (1995) Effects of obesity on QT, RR, and QTc intervals. Am J Cardiol 75: 956-959
Goossens C, Marques MB, Derde S (2017) Premorbid obesity, but not nutrition, prevents critical illness-induced muscle wasting and weakness. J Cachexia, Sarcopenia and Muscle 8(1): 89-101
Gotto AM, Farmer JA (1992) Risk factors for coronary artery disease. In E. Brauuwald (Ed.), Heart disease. A textbook of cardiovascular medicine (pp. 1125–1160) (2nd ed.) Philadelphia: W.B. Saunders Co
Gruberg L, Weissman NJ, Waksman R (2002) The impact of obesity on the short-term and long-term outcomes after percutaneous coronary intervention: the obesity paradox? J Amer Coll Cardiol 39(4) 578-84
Gurm HS, Whitlow PL, Kip KE (2002) The impact of body mass index on short- and long-term outcomes in patients undergoing coronary revascularization: insights from the bypass angioplasty revascularization investigation (BARI). J Am Coll Cardiol 39(5) 834-840
Farmer JA, Torre-Amione G (2001) The renin–angiotensin system as a risk factor for coronary artery disease. Curr Atheroscler Rep 3: 117-124
Hopkins TA, Ouchi N, Shibata R, Walsh K (2007) Adiponectin actions in the cardiovascular system. Cardiovas Res 74: 11-18
Iwashima Y, Katsuya T, Ishikawa K, Ouchi N, Ohishi M, Sugimoto K (2004) Hypoadiponectinemia is an independent risk factor for hypertension. Hypertension 43:1318-1323
Karmazyn M, Purdham DM, Rajapurohitam V, Zeidan A (2008) Signalling mechanisms underlying the metabolic and other effects of adipokines on the heart. Cardiovasc Res 79(2): 279-286
Kenchaiah S, Evans JC, Levy D (2002) Obesity and the risk of heart failure. N Engl J Med 347(5): 305-313
Kurth T, Gaziano JM, Berger K (2002) Body mass index and the risk of stroke in men. Arch Intern Med 162: 2557-2562
Lavie CJ, Milani RV, Ventura HO (2007a) Obesity, heart disease, and favorable prognosis-truth or paradox? Am J Med 120: 825- 826
Lavie CJ, Milani RV, Ventura HO, Cardenas GA, Mehra MR, Messerli FH (2007b) Disparate effects of left ventricular geometry and obesity on mortality in patients with preserved left ventricular ejection fraction. Am J Cardiol 100: 1460-1464
Lavie CJ, Milani RV, Ventura HO (2009) Obesity and cardiovascular disease risk factor, paradox, and impact of weight loss. J Am Coll Cardiol 53(21): 1925-1932
Lavie CJ, Arena R, Alpert MA, Milani RV, Ventura HO (2017) Management of cardiovascular diseases in patients with obesity. Nat Rev Cardiol 15(1): 45-56
Maesen B, Zeemering S, Afonso C (2013) Rearrangement of atrial bundle architecture and consequent changes in anisotropy of conduction constitute the 3-dimensional substrate for atrial fibrillation. Circ Arrhythm Electrophysiol 6(5): 967-975
Manson JAE, Colditz GA, Stampfer MJ (1990) A prospective study of obesity and risk of coronary heart disease in women. N Engl J Med 322(13): 882-889
Mattu HS, Randeva HS (2013) Role of adipokines in cardiovascular disease. Journal of Endocrinology. 216: T17-T36
Messerli FH, Nunez BD, Ventura HO, Snyder DW (1987) Overweight and sudden death: increased ventricular ectopy in cardiomyopathy of obesity. Arch Intern 147: 1725-1728
Ouchi N, Kihara S, Funahashi T, Matsuzawa Y, Walsh K (2003) Obesity, adiponectin and vascular inflammatory disease. Curr Opin Lipidol 14: 561-566
Poetsch MS, Strano A, Guan K (2020) Role of leptin in cardiovascular disease. Front Endocrinol 11:1–13
Ridker PM (2007) C-reactive protein and the prediction of cardiovascular events among those at intermediate risk: moving an inflammatory hypothesis toward consensus. J Am Coll Cardiol 49(21): 2129-2138
Rocha VZ, Libby P (2009) Obesity, inflammation, and atherosclerosis. Nat Rev Cardiol 6(6): 399-409
Schunkert H, Harrell L, Palacios IF (1999) Implications of small reference vessel diameter in patients undergoing percutaneous coronary revascularization. J Am Coll Cardiol 34(1): 40-48
Shoelson SE, Herrero L, Naaz A (2007) Obesity, inflammation, and insulin resistance. Gastroenterology 132(6): 2169-2180
Simone G, de Palmieri V, Bella JN (2002) Association of left ventricular hypertrophy with metabolic risk factors: the Hyper GEN study. J Hypertens 20(2): 323-331
Stamler R, Ford CE, Stamler J (1991) Why do lean hypertensive patients have higher mortality rates than other hypertensive patients? Findings of the hypertension detection and follow-up program. Hypertension 17: 553- 564
Tiret L, Poirier O, Hallet V, McDonagh T, Morrison C, McMurray J, Dargie H, Arveiler D, Ruidavets J, Luc G, Evans A, Cambien F (1999) The Lys198Asn polymorphism in the endothelin-1 gene is associated with blood pressure in overweight people. Hypertension 33: 1169-1174
Torre-Amione G, Kapadia G, Benedict C, Oral H,Young JB, Mann DL (1996) Proinflammatory cytokine levels in patients with depressed left ventricular ejection fraction: a report from the studies of left ventricular dysfunction (SOLVD). J Am Coll Cardiol 27(5): 1201-1206
Tedrow WB, Conen D, Ridker PM. (2010) The long-and short-term impact of elevated body mass index on the risk of new atrial fibrillation: the WHS (women’s health study). J Am Coll Cardiol 55(21): 2319-2327
Traupe T, Lang M, Goettsch W, Muenter K, Morawietz H, Vetter W, Barton M (2002) Obesity increases prostanoid-mediated vasoconstriction and vascular thromboxane receptor gene expression. J Hypertens 11: 2239-2245
Uretsky S, Messerli FH, Bangalore S (2007) Obesity paradox in patients with hypertension and coronary artery disease. Am J Med 120: 863-870
Wanahita N, Messerli FH, Bangalore S (2008) Atrial fibrillation and obesity-results of a meta-analysis. Am Heart J 155: 310-355
Wang TJ, Parise H, Levy D (2004) Obesity and the risk of new-onset atrial fibrillation. JAMA 292(20): 2471-2477
Wannamethee SG, Tchernova J, Whincup P, Lowe GD, Kelly A, Rumley A (2007) Plasma leptin: associations with metabolic, inflammatory and haemostatic risk factors for cardiovascular disease. Atherosclerosis 191:418–426, 443
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Das, S. (2021). Effect of Obesity in the Cardiovascular System. In: Kutty, M.K., Elengoe, A. (eds) Obesity and its Impact on Health. Springer, Singapore. https://doi.org/10.1007/978-981-33-6408-0_6
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