Bariatric surgery and hypertension

A clear pathogenetic association exists between obesity and arterial hypertension, becoming even more evident in subjects with severe obesity. Bariatric surgery has proved to be the most effective treatment for severe obesity, with its benefits going beyond weight loss. The present review aimed to d...

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Detalles Bibliográficos
Autores: Climent, Elisenda, Oliveras, Anna, Pedro-Botet, Juan, Goday Arnó, Albert, Benaiges Foix, David
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/53529
Acceso en línea:http://hdl.handle.net/10230/53529
http://dx.doi.org/10.3390/jcm10184049
Access Level:acceso abierto
Palabra clave:Bariatric surgery
Blood pressure
Hypertension
Modifications of structural changes
Obesity
Severe obesity
Descripción
Sumario:A clear pathogenetic association exists between obesity and arterial hypertension, becoming even more evident in subjects with severe obesity. Bariatric surgery has proved to be the most effective treatment for severe obesity, with its benefits going beyond weight loss. The present review aimed to determine the effects of bariatric surgery on arterial hypertension evident in short- and long-term follow-ups. Moreover, the differences between surgical techniques regarding hypertension remission are described as well as the possible pathophysiologic mechanisms involved. In addition, the effects of bariatric surgery beyond blood pressure normalization are also analyzed, including those on target organs and cardiovascular morbidity and mortality.