In the Hot Seat: Experts Weigh In on Weight Management-Obesity, Heart Failure, and Beyond: Time for a Revolution (and/or a Resolution)?

Obesity, Heart Failure, and Beyond: Time for a Revolution (and/or a Resolution)?

Video Transcription

Video Summary

Dr. Amanda Vest's presentation focuses on the relationship between obesity and heart failure, emphasizing the importance of addressing both issues for improved patient outcomes. As a heart failure cardiologist also certified in obesity medicine, she highlights the clear epidemiological link between excess adiposity and heart failure, particularly heart failure with preserved ejection fraction (HFPEF). Dr. Vest discusses the debated obesity survival paradox, suggesting it might be an illusion rather than fact. She explores treatment domains, including lifestyle interventions, bariatric surgery, and anti-obesity medications. Although lifestyle changes are foundational, bariatric surgery shows potential benefits but requires careful patient selection. Anti-obesity medications, like GLP-1 agonists, present promising outcomes, especially in HFPEF patients, with caution recommended in advanced heart failure cases due to potential safety concerns. Dr. Vest proposes a nuanced approach to managing obesity in heart failure patients, weighing individual patient factors to optimize therapy.

Keywords

obesity

heart failure

bariatric surgery

GLP-1 agonists

HFPEF