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Sudden cardiac death and obesity
Benoit Plourde1, Jean-François Sarrazin, Isabelle Nault
1Department of Medicine, Faculty of Medicine, Quebec City, QC, Canada.
Insights
Obesity significantly increases the risk of sudden cardiac death, often alongside traditional cardiovascular risk factors. This review explores the mechanisms linking obesity to out-of-hospital cardiac arrest in affected individuals.
Area of Science:
- Cardiology
- Public Health
- Obesity Medicine
Background:
- Rising global obesity rates present a significant public health challenge.
- Obesity frequently coexists with traditional cardiovascular disease risk factors like hypertension, diabetes, and metabolic syndrome.
- These comorbidities exacerbate the risk of adverse cardiovascular events, including sudden cardiac death.
Purpose of the Study:
- To review the association between obesity and out-of-hospital sudden cardiac death.
- To explore the potential mechanisms linking obesity to increased risk of sudden cardiac death.
- To highlight structural, functional, and metabolic factors contributing to this risk.
Main Methods:
- Literature review focusing on studies examining obesity and sudden cardiac death.
- Analysis of shared traditional cardiovascular risk factors in obese populations.
- Examination of specific cardiac alterations associated with obesity and sudden cardiac death.
Main Results:
- Obesity shares common cardiovascular risk factors with sudden cardiac death.
- Structural changes (e.g., left ventricular hypertrophy) are observed in obese individuals at risk.
- Functional and metabolic alterations, including arrhythmias and reduced heart rate variability, are prevalent.
Conclusions:
- Obesity is a critical factor contributing to sudden cardiac death risk.
- Multiple pathways, including structural, functional, and metabolic changes, mediate this risk.
- Further research into obesity-specific interventions is crucial for preventing sudden cardiac death.
Abstract:
For individuals and the society as a whole, the increased risk of sudden cardiac death in obese patients is becoming a major challenge, especially since obesity prevalence has been increasing steadily around the globe. Traditional risk factors and obesity often coexist. Hypertension, diabetes, obstructive sleep apnea and metabolic syndrome are well-known risk factors for CV disease and are often present in the obese patient. Although the bulk of evidence is circumstantial, sudden cardiac death and obesity share common traditional CV risk factors. Structural, functional and metabolic factors modulate and influence the risk of sudden cardiac death in the obese population. Other risk factors such as left ventricular hypertrophy, increased number of premature ventricular complexes, altered QT interval and reduced heart rate variability are all documented in both obese and sudden cardiac death populations. The present review focuses on out-of-hospital sudden cardiac death and potential mechanisms leading to sudden cardiac death in this population.
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