Abstract

Objective: Obesity paradox holds the improved survival of obese elderly or diseased patients. Obesity paradox has been extensively studied in heart failure. Although, in the last ten years, many studies have shown a better survival rate related to obesity, the reasons of the paradox are poorly explained. It is not clear why obese heart failure patients have a better survival rate being overweight as a well know vascular risk factor. Moreover, coronary disease is the first cause of heart failure and obesity is a long term risk factor to develop heart failure.

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