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Visceral obesity and HFpEF: targets and therapeutic opportunities

. 2025 Apr ; 46 (4) : 337-356. [epub] 20250319

Language English Country Great Britain, England Media print-electronic

Document type Journal Article, Review, Research Support, Non-U.S. Gov't

Links

PubMed 40113531
DOI 10.1016/j.tips.2025.02.005
PII: S0165-6147(25)00025-2
Knihovny.cz E-resources

The effectiveness of weight-loss drugs in heart failure (HF) with preserved ejection fraction (HFpEF) highlights the link between obesity (adipose tissue) and HF (the heart). Recent guidelines incorporating the waist:height ratio for diagnosing and treating obesity reflect the growing recognition of the significance of visceral adiposity. However, its unique impact on HFpEF and their complex relationship remain underexplored. With limited treatment options for obesity-related HFpEF, novel disease-modifying treatments are urgently needed. Here, we clarify the relationship between visceral obesity and HFpEF, introducing the concept of the visceral adipose tissue-heart axis to explore its mechanisms and therapeutic potential. We also discuss promising strategies targeting visceral obesity in HFpEF and propose directions for future research.

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