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Updated: May 11, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
From obesity to cardiovascular disease: pathological basis and clinical implications
Matteo Nardin1, Roxana Mehran2, Angelo Oliva2
1Department of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini 4, Milan, Italy; Internal Medicine, Department of Medicine, ASST Spedali Civili di Brescia, Piazzale Spedali Civili 1, Brescia, Italy.
Insights
Obesity significantly impacts cardiovascular health, increasing risks for various conditions. While new therapies offer benefits, personalized strategies are crucial for managing obesity-related heart disease.
Area of Science:
- Cardiology
- Endocrinology
- Public Health
Background:
- Obesity is a global health crisis with severe cardiovascular consequences.
- Excess adiposity drives atherosclerosis, hypertension, heart failure, and stroke via complex mechanisms.
- Dysfunctional adipose tissue, including epicardial fat, promotes inflammation and cardiac remodeling.
Purpose of the Study:
- To review the cardiovascular implications of obesity.
- To highlight the mechanisms linking obesity to cardiovascular disease.
- To discuss current and future therapeutic strategies.
Main Methods:
- Literature review of obesity and cardiovascular disease.
- Analysis of mechanisms including inflammation, insulin resistance, and neurohormonal activation.
- Evaluation of recent therapeutic advances, such as incretin therapies.
Main Results:
- Obesity is strongly linked to earlier and more severe cardiovascular events.
- Mechanisms include adipose tissue dysfunction, chronic inflammation, and endothelial impairment.
- Incretin therapies show promise for weight loss and metabolic improvement.
Conclusions:
- Integrated precision-medicine and public-health approaches are needed.
- Addressing obesity phenotyping and risk stratification is essential.
- Reducing the obesity-related cardiovascular burden requires multifaceted strategies.
Abstract:
Obesity is a major global health burden with profound cardiovascular implications, contributing to morbidity, mortality, and healthcare costs. Excess adiposity promotes atherosclerosis, hypertension, atrial fibrillation, heart failure, stroke, and venous thromboembolism through entangled mechanisms, including adipose tissue dysfunction, chronic low-grade inflammation, immune dysregulation, endothelial impairment, insulin resistance, and neurohormonal activation. Dysfunctional adipose tissue, including perivascular and epicardial fat, actively contributes to vascular inflammation, cardiac remodeling, and arrhythmogenesis. Although the "obesity paradox" has been described, obesity remains strongly associated with earlier and more severe cardiovascular events. Recent therapeutic advances, particularly incretin therapies, have improved the management of obesity and its consequences by realizing notable weight loss and metabolic benefits. However, important gaps in obesity phenotyping, cardiovascular risk stratification, and individualized therapy persist, supporting integrated precision-medicine and public-health strategies to reduce obesity-related cardiovascular burden.
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