Methodist DeBakey cardiovascular journal最新文献

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Best Friends. 最好的朋友。
Methodist DeBakey cardiovascular journal Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1566
Philip Alexander
{"title":"Best Friends.","authors":"Philip Alexander","doi":"10.14797/mdcvj.1566","DOIUrl":"10.14797/mdcvj.1566","url":null,"abstract":"<p><p>Philip Alexander, MD, is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and former music professor, he often performs as an oboe soloist for the Brazos Valley Symphony Orchestra. He began exploring visual art in 1980, evolving from pencil sketches-including an official White House portrait of President Ronald Reagan-to the computer-generated drawings featured in this journal. His images, which first appeared in this journal in the spring of 2012, are his own original creations. If you would like to see your art published in the <i>Methodist DeBakey Cardiovascular Journal</i>, submit your creation online at journal.houstonmethodist.org as a \"Humanities\" entry.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 2","pages":"104-106"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond BMI: A Patient-Centered Approach to Discussing Obesity. 超越BMI:以病人为中心讨论肥胖问题。
Methodist DeBakey cardiovascular journal Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1531
Sharon Anderson, Enjoli Benitez, Edith Gonzalez-Godinez, Yatri Desai, Nickveer Heer, Jordan White
{"title":"Beyond BMI: A Patient-Centered Approach to Discussing Obesity.","authors":"Sharon Anderson, Enjoli Benitez, Edith Gonzalez-Godinez, Yatri Desai, Nickveer Heer, Jordan White","doi":"10.14797/mdcvj.1531","DOIUrl":"10.14797/mdcvj.1531","url":null,"abstract":"<p><p>This Points to Remember column outlines an approach to initiating the discussion of obesity with a patient in the clinical setting. Written by faculty and residents of the Houston Methodist Family Medicine Residency Program, these points can help physicians develop a patient-centered approach to broaching the discussion of weight management that fosters an open dialogue and works to reduce weight stigma and biases surrounding obesity.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 2","pages":"94-96"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of Obesity on Cardiovascular Diseases: Heart Failure. 肥胖对心血管疾病的影响:心力衰竭。
Methodist DeBakey cardiovascular journal Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1511
Hatem Alansari, Gina Lazzara, Mohamad B Taha, Janardhana R Gorthi
{"title":"The Impact of Obesity on Cardiovascular Diseases: Heart Failure.","authors":"Hatem Alansari, Gina Lazzara, Mohamad B Taha, Janardhana R Gorthi","doi":"10.14797/mdcvj.1511","DOIUrl":"10.14797/mdcvj.1511","url":null,"abstract":"<p><p>Obesity and heart failure (HF) are two intersecting public health challenges, each with rising prevalence worldwide. Obesity alters cardiac structure and function, leading to ventricular systolic and diastolic dysfunction. However, weight loss interventions, whether through lifestyle changes, pharmacological agents, or bariatric surgery, can improve cardiac function, reduce symptoms, and lower hospitalization rates. Interestingly, the \"obesity paradox\" suggests that HF patients with obesity may experience better survival outcomes than HF patients with normal weight despite the adverse cardiac effects of obesity. Most importantly, focusing on strategies that aim to prevent HF in patients with obesity can potentially curb the burden of this chronic condition. This review explores the complex relationship between obesity and HF, emphasizing pathophysiological mechanisms, the paradoxical survival benefit, and the impact of weight loss strategies. A deeper understanding of this relationship is critical for optimizing care and outcomes in HF patients with obesity.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 2","pages":"44-52"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical Strategies for the Management of Obesity. 肥胖症的外科治疗策略。
Methodist DeBakey cardiovascular journal Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1513
Connie Au, Robert Brumer, Julia Schroer, Nabil Tariq
{"title":"Surgical Strategies for the Management of Obesity.","authors":"Connie Au, Robert Brumer, Julia Schroer, Nabil Tariq","doi":"10.14797/mdcvj.1513","DOIUrl":"10.14797/mdcvj.1513","url":null,"abstract":"<p><p>Obesity is one of the most difficult medical conditions to treat in the United States (US) and requires multidisciplinary treatment. Bariatric surgery is one of the most effective treatment options for morbid obesity. In this review, we describe the most up-to-date information regarding the impact of obesity on cardiovascular disease and other comorbidities as well as the various surgical approaches for treatment.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 2","pages":"84-93"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medical Management of Obesity: Current Trends and Future Perspectives. 肥胖的医学管理:当前趋势和未来展望。
Methodist DeBakey cardiovascular journal Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1503
Andres Calderon Valladares, Maria Aguilera Astudillo, Alexsandra Rojas Drinnon, Samaneh Dowlatshahi, Abhishek Kansara, Jawairia Shakil, Bhargavi Patham
{"title":"Medical Management of Obesity: Current Trends and Future Perspectives.","authors":"Andres Calderon Valladares, Maria Aguilera Astudillo, Alexsandra Rojas Drinnon, Samaneh Dowlatshahi, Abhishek Kansara, Jawairia Shakil, Bhargavi Patham","doi":"10.14797/mdcvj.1503","DOIUrl":"10.14797/mdcvj.1503","url":null,"abstract":"<p><p>Obesity and overweight have become increasingly significant conditions, affecting more than 70% of the adult population in the United States. These conditions are caused by a combination of factors, including genetic, behavioral, environmental, and medical influences. Obesity is a major risk factor for cardiovascular and metabolic diseases. A comprehensive treatment plan for individuals with obesity must recognize the chronic nature of the condition and offer strategies for weight reduction and long-term cardiometabolic benefits. Over the past several decades, multiple therapeutic options have been implemented to address weight loss, appetite regulation, and caloric expenditure, with the goal of reducing the burden of obesity and improving cardiovascular outcomes. Pharmacological treatment of obesity has focused primarily on the central regulation of appetite and food intake behavior. The introduction of incretin agonists for obesity treatment has ushered in a new era of cardiometabolic health, with a multitargeted mechanism that achieves weight loss, glycemic control, decreased cardiovascular mortality, and other metabolic benefits. This review explores the current pharmacological options and the future of obesity treatment.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 2","pages":"62-73"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic Therapies. 管理肥胖的策略:内窥镜减肥和代谢疗法。
Methodist DeBakey cardiovascular journal Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1518
Ronan P Allencherril, Thomas R McCarty
{"title":"Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic Therapies.","authors":"Ronan P Allencherril, Thomas R McCarty","doi":"10.14797/mdcvj.1518","DOIUrl":"10.14797/mdcvj.1518","url":null,"abstract":"<p><p>Over the past two decades, numerous endoscopic bariatric and metabolic therapies (EBMTs) have been developed with the goal of providing additional effective and safe tools for the treatment of obesity. These treatments are an ultra-minimally invasive option for patients with class I, class II, and class III obesity. Many of these EBMTs can be utilized as primary therapies for treatment-naïve patients or as a treatment for weight regain after bariatric surgery. While the role of EBMTs is not to compete with bariatric surgery, which provides the most effective treatment of obesity, they provide greater weight loss than lifestyle modifications and pharmacotherapy; additionally, when combined with pharmacotherapy, they may help achieve surgical weight loss without the risk of invasive surgery. This review summarizes the most currently available EBMTs, including intragastric balloons (IGBs), endoscopic sleeve gastroplasty (ESG), and endoscopic surgical revision procedures for treating obesity.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 2","pages":"74-83"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strategies to Manage Obesity: Lifestyle. 管理肥胖的策略:生活方式。
Methodist DeBakey cardiovascular journal Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1510
Ramiro Saavedra, Betsy Ramirez, Brandon Jay
{"title":"Strategies to Manage Obesity: Lifestyle.","authors":"Ramiro Saavedra, Betsy Ramirez, Brandon Jay","doi":"10.14797/mdcvj.1510","DOIUrl":"10.14797/mdcvj.1510","url":null,"abstract":"<p><p>The treatment of obesity and cardiovascular disease (CVD) is complex, and a variety of strategies are effective in the lifestyle interventions associated with these disease states. An interdisciplinary approach is the most effective treatment with the best results and outcomes. The lifestyle management of obesity includes interventions in nutrition, exercise, and behavioral health-all key components in managing most chronic illnesses. Effective nutrition interventions include the Mediterranean diet, DASH diet, and incorporation of more plant-based food options. Exercise is tailored to individual needs and emphasizes a gradual progression and incremental change with both aerobic and resistance training to manage weight and cardiovascular disease. Behavioral health focuses on practicing mindfulness, active self-awareness, sleep quality, stress management, and the use of therapy in overcoming barriers to success. These lifestyle factors are key in managing weight and cardiovascular disease.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 2","pages":"53-61"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Obesity and Atherosclerotic Cardiovascular Disease: A Review of Social and Biobehavioral Pathways. 肥胖与动脉粥样硬化性心血管疾病:社会和生物行为途径的综述
Methodist DeBakey cardiovascular journal Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1528
Izza Shahid, Faiza Zakaria, Ryan Chang, Umair Javed, Zahir Malik Amin, Sadeer Al-Kindi, Khurram Nasir, Zulqarnain Javed
{"title":"Obesity and Atherosclerotic Cardiovascular Disease: A Review of Social and Biobehavioral Pathways.","authors":"Izza Shahid, Faiza Zakaria, Ryan Chang, Umair Javed, Zahir Malik Amin, Sadeer Al-Kindi, Khurram Nasir, Zulqarnain Javed","doi":"10.14797/mdcvj.1528","DOIUrl":"10.14797/mdcvj.1528","url":null,"abstract":"<p><p>In the United States, two out of every five adults have obesity. The obesity epidemic is a significant public health concern and a major risk factor for atherosclerotic cardiovascular disease (ASCVD), contributing to its development through a complex interplay of social, biologic and behavioral mechanisms. It exacerbates traditional cardiovascular risk factors such as dyslipidemia, hypertension, and type 2 diabetes, while visceral and epicardial fat deposition promotes inflammation and insulin resistance, thereby accelerating atherosclerosis. Beyond traditional pathophysiologic pathways, social determinants of health (SDoH) significantly contribute to obesity-related disparities, particularly among racial and ethnic minorities. SDoH factors such as socioeconomic status, access to health care, and limited availability of nutritious food and safe spaces for physical activity not only increase obesity prevalence but also exacerbate its psychological toll, including stress and anxiety, which further elevate cardiovascular risk. Environmental factors, such as limited green spaces and air pollution, further promote obesogenic behaviors and worsen cardiovascular outcomes. In this review, we explore the association between obesity and ASCVD and key mediating pathways including the role of SDoH and environmental risk factors. We also discuss potential strategies-including patient education, community engagement to address SDoH, and establishment of dedicated cardiometabolic and cardiovascular prevention clinics-to mitigate the population burden of obesity and improve downstream cardiovascular outcomes.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 2","pages":"23-34"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patent Foramen Ovale with a Straddling Thrombus. 卵圆孔未闭伴跨界血栓。
Methodist DeBakey cardiovascular journal Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1532
Yehia Saleh, Ola Abdelkarim, Samarth Thakkar, Nadeen Faza
{"title":"Patent Foramen Ovale with a Straddling Thrombus.","authors":"Yehia Saleh, Ola Abdelkarim, Samarth Thakkar, Nadeen Faza","doi":"10.14797/mdcvj.1532","DOIUrl":"10.14797/mdcvj.1532","url":null,"abstract":"<p><p>A 78-year-old man presented with shortness of breath and lower limb edema. Echocardiogram showed severely decreased biventricular function with a large clot straddling the patent foramen ovale extending from the right atrium into the left atrium and ventricle.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 2","pages":"97-99"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Obesity as a Disease: A Primer on Clinical and Physiological Insights. 肥胖作为一种疾病:临床和生理见解的入门。
Methodist DeBakey cardiovascular journal Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.14797/mdcvj.1515
Aayush Shah, Orhun Davarci, Peter Chaftari, Eleonora Avenatti
{"title":"Obesity as a Disease: A Primer on Clinical and Physiological Insights.","authors":"Aayush Shah, Orhun Davarci, Peter Chaftari, Eleonora Avenatti","doi":"10.14797/mdcvj.1515","DOIUrl":"10.14797/mdcvj.1515","url":null,"abstract":"<p><p>Obesity is now recognized as a multifaceted chronic disease that is intricately linked to metabolic, biochemical, and psychosocial dysfunction. In this article, we review the epidemiology of obesity, current understanding of its physiopathology, and the recommended staging system used to approach it as a chronic disease, and we include an overview of its health implications.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 2","pages":"4-13"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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