赵高娃 于勤

    [摘要] 肥胖是由多种因素引起的一种慢性代谢性疾病，现被认为是心血管疾病的独立危险因素，长期重度肥胖可导致心脏结构和功能改变，最终出现心力衰竭。肥胖性心肌病是由于肥胖引起心脏病变的代谢性疾病，目前，随着生活水平的提高，肥胖人群不断增多，肥胖性心肌病的发生逐渐增多。所以对肥胖性心肌病的正确认识以及早预防、早诊断、早治疗，可显著减少肥胖性心肌病的患病率。本篇综述从肥胖心肌病的诊断、发病机制、治疗等方面进行阐述。

    [关键词] 肥胖;心肌病;发病机制;肥胖悖论

    [中图分类号] R542.2? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2020)05(b)-0035-04

    Research progress of obesity cardiomyopathy

    ZHAO Gaowa1，2? ?YU Qin1，2

    1.Department of Cardiology， Affiliated Zhongshan Hospital of Dalian University， Liaoning Province， Dalian? ?116001， China; 2.Zhongshan Clinical College， Dalian University， Liaoning Province， Dalian? ?116622， China

    [Abstract] Obesity is a chronic metabolic disease caused by a variety of factors. It is now considered as an independent risk factor for cardiovascular disease. Long term severe obesity can lead to changes in the structure and function of the heart， and eventually result to heart failure. Obesity cardiomyopathy is a metabolic disease caused by obesity. At present， with the improvement of living standards， the number of obese people is increasing， and the incidence of obesity cardiomyopathy is increasing gradually. Therefore ......