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Obesity and heart failure with preserved ejection fraction: focus on new drugs and future direction in medical treatment

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Obesity is a major risk factor for heart failure with preserved ejection fraction (HFpEF) and contributes through multiple pathophysiological pathways, including systemic inflammation, neurohormonal activation, and mechanical inhibition. The treatment of obesity has shown significant potential for improving HFpEF outcomes. Sodium-glucose cotransporter 2 inhibitors have emerged as effective treatments for improving symptoms and quality of life in patients with HFpEF while aiding in weight control. Furthermore, a recent demonstration of the clinical benefits of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) in HFpEF showed promising results in reducing weight loss, and improving symptoms and clinical outcomes. In this review article, we discuss the association between HFpEF and obesity, the emerging role of GLP-1 RAs, and future directions for medical therapies targeting obesity-associated HFpEF.

Abstract

Obesity is a major risk factor for heart failure with preserved ejection fraction (HFpEF) and contributes through multiple pathophysiological pathways, including systemic inflammation, neurohormonal activation, and mechanical inhibition. The treatment of obesity has shown significant potential for improving HFpEF outcomes. Sodium-glucose cotransporter 2 inhibitors have emerged as effective treatments for improving symptoms and quality of life in patients with HFpEF while aiding in weight control. Furthermore, a recent demonstration of the clinical benefits of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) in HFpEF showed promising results in reducing weight loss, and improving symptoms and clinical outcomes. In this review article, we discuss the association between HFpEF and obesity, the emerging role of GLP-1 RAs, and future directions for medical therapies targeting obesity-associated HFpEF.

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관련 논문AI추천

Obesity-related heart failure with preserved ejection fraction: diagnostic and therapeutic challenges정미향, Mi-Seung Shin대한내과학회 · The Korean Journal of Internal Medicine2023 · 제38권 제2호Heart failure with preserved ejection fraction: insights from recent clinical researchesMi-Na Kim, Seong-Mi Park대한내과학회 · The Korean Journal of Internal Medicine2020 · 제35권 제3호Breakthrough in heart failure with preserved ejection fraction: are we there yet?Carolyn Su Ping Lam, Shir Lynn Lim대한내과학회 · The Korean Journal of Internal Medicine2016 · 제31권 제1호SGLT2 Inhibitors and Ketone Metabolism in Heart Failurede Boer Rudolf A., Saucedo-Orozco Huitzilihuitl, Voorrips Suzanne N., Westenbrink B. Daan, Yurista Salva R.한국지질동맥경화학회 · 지질·동맥경화학회지2022 · 제11권 제1호Molecular Pathways in Diabetic Cardiomyopathy and the Role of Anti-hyperglycemic Drugs Beyond Their Glucose Lowering Effect김병규, 원종철, 이지은한국지질동맥경화학회 · 지질·동맥경화학회지2025 · 제14권 제1호Effects of Sodium/Glucose Cotransporter 2 (SGLT2) Inhibitors on Cardiac Imaging Parameters: A Systematic Review and Meta-analysis of Randomized Controlled TrialsAlicia Swee Yan Yip, Benjamin YQ Tan, Caitlin Fern Wee, Chi-Hang Lee, Ching Ching Ong, Ching-Hui Sia, Devinder Singh, Kian-Keong Poh, Leonard LL Yeo, Lynette LS Teo, Mark Yan-Yee Chan, Nicholas LX Syn, Ping Chai, Ray Meng See, Raymond CC Wong, Shariel Leong, Tiong-Cheng Yeo, William KF Kong, Yao Hao Teo, Yao Neng Teo, Zhi Xian Ong한국심초음파학회 · Journal of Cardiovascular Imaging2022 · 제30권 제3호

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