[Cardiovascular consequences of obesity associated with arterial hypertension].
Hypertensive obese subjects run an increased cardiovascular risk. Their predominantly abdominal obesity is often associated with hypertriglyceridaemia and insulin-resistant diabetes, and their cardiovascular status is characterized by cardiac hyperdynamics and hypervolaemia responsible for left ventricular hypertrophy and dilatation. Insulin resistance and subsequent hyperinsulinaemia are thought to explain the obesity-hypertension association, the cardiovascular effects observed and the metabolic and cardiovascular complications which might result from this situation. Successful control of both arterial pressure and overweight should contribute to regression of the left ventricular hypertrophy. Simultaneous treatment of abnormalities in carbohydrate and lipid metabolism is also necessary to prevent cardiovascular complications.
Raison
J
J
Service de Médecine et Nutrition, Hôtel-Dieu de Paris.
D002318:Cardiovascular Diseases / Q000209:etiology* / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D006946:Hyperinsulinism / Q000150:complications; D006973:Hypertension / Q000150:complications*; D007333:Insulin Resistance; D009765:Obesity / Q000150:complications*; D015431:Weight Loss / Q000502:physiology
Conséquences cardiovasculaires de l'obésité associée à l'hypertension artérielle.