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肥胖是心血管疾病明确的独立危险因素,与高血压、血脂异常、糖尿病等代谢性疾病密切相关,显著增加冠心病、心肌梗死及其他动脉粥样硬化性疾病的患病率。但在心力衰竭患者中,肥胖患者的死亡率低于体质量正常或消瘦患者,这种现象被称之为“肥胖矛盾”。文章就目前关于肥胖与慢性心力衰竭预后关系的研究进行综述。
Obesity is a clear independent risk factor for cardiovascular disease and is closely related to metabolic diseases such as hypertension, dyslipidemia and diabetes, and significantly increases the prevalence of coronary heart disease, myocardial infarction and other atherosclerotic diseases. However, among heart failure patients, the mortality rate of obese patients is lower than that of normal weight or wasting patients, a phenomenon known as “obesity contradiction.” The article reviews the current research on the relationship between obesity and the prognosis of chronic heart failure.