173de330a3d5845c75f641f09fb57a97 pmc_34575161.pdf dd6b68b0a9864e7aa31d1edb1161a0e5f66a4efc pmc_34575161.pdf 26282f1162dc43dea72d6aa7385adf8827a98885cd4ae2cdc504f84676ed5859 pmc_34575161.pdf Title: Bariatric Surgery and Hypertension Subject: A clear pathogenetic association exists between obesity and arterial hypertension, becoming even more evident in subjects with severe obesity. Bariatric surgery has proved to be the most effective treatment for severe obesity, with its benefits going beyond weight loss. The present review aimed to determine the effects of bariatric surgery on arterial hypertension evident in short- and long-term follow-ups. Moreover, the differences between surgical techniques regarding hypertension remission are described as well as the possible pathophysiologic mechanisms involved. In addition, the effects of bariatric surgery beyond blood pressure normalization are also analyzed, including those on target organs and cardiovascular morbidity and mortality. Keywords: bariatric surgery; obesity; severe obesity; hypertension; blood pressure; modifications of structural changes Author: Elisenda Climent, Anna Oliveras, Juan Pedro-Botet, Albert Goday and David Benaiges Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Tue Sep 7 14:06:08 2021 CEST ModDate: Tue Sep 7 15:01:54 2021 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 13 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 557644 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- XSHAJJ+URWPalladioL-Ital Type 1 Custom yes yes no 10 0 DWYLIZ+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 BRVNRW+URWPalladioL-Roma Type 1 Custom yes yes no 19 0 OXMFPZ+VnURWPalladioL Type 1 Custom yes yes no 23 0 XPUSBJ+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 32 0 BSDWLC+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 35 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 57 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 61 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 65 0 SJYCVL+CMSY10 Type 1 Builtin yes yes no 77 0 ICBUDW+URWPalladioL-BoldItal Type 1 Custom yes yes no 87 0 JHYTSG+CMR10 Type 1 Builtin yes yes no 94 0 IDFIEP+TimesNewRoman TrueType WinAnsi yes yes no 105 0 IDFGED+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 108 0 IDFGEE+PalatinoLinotype CID TrueType Identity-H yes yes yes 111 0 IDFGEF+PalatinoLinotype TrueType WinAnsi yes yes no 117 0 IDFGFH+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 120 0 IDFIEO+TimesNewRoman CID TrueType Identity-H yes yes yes 123 0 QDCWHF+EURM10 Type 1 Builtin yes yes no 137 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-10-02 03:39:24 CEST RepresentationInformation: pmc_34575161.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2023-03-31 12:05:46 CEST Size: 557644 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 427 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Bariatric Surgery Effects on Blood Pressure Destination: section.2 Children: Item: Title: Short-Term Effects on Blood Pressure Destination: subsection.2.1 Item: Title: Mid- and Long-Term Effects Destination: subsection.2.2 Item: Title: Differences among Surgical Procedures Destination: subsection.2.3 Item: Title: Metabolic Surgery and HTN Destination: subsection.2.4 Item: Title: Possible Mechanisms Related to HTN Improvement Destination: subsection.2.5 Item: Title: Bariatric Surgery Benefits beyond Blood Pressure Improvement Destination: section.3 Children: Item: Title: Organ Damage Changes Destination: subsection.3.1 Children: Item: Title: Cardiac Changes Destination: subsubsection.3.1.1 Item: Title: Vessel Changes Destination: subsubsection.3.1.2 Item: Title: Renal Changes Destination: subsubsection.3.1.3 Item: Title: Implications in Cardiovascular Morbidity and Mortality Destination: subsection.3.2 Item: Title: Conclusions Destination: section.4 Item: Title: References Destination: section.4 Info: Title: Bariatric Surgery and Hypertension Author: Elisenda Climent, Anna Oliveras, Juan Pedro-Botet, Albert Goday and David Benaiges Subject: A clear pathogenetic association exists between obesity and arterial hypertension, becoming even more evident in subjects with severe obesity. Bariatric surgery has proved to be the most effective treatment for severe obesity, with its benefits going beyond weight loss. The present review aimed to determine the effects of bariatric surgery on arterial hypertension evident in short- and long-term follow-ups. Moreover, the differences between surgical techniques regarding hypertension remission are described as well as the possible pathophysiologic mechanisms involved. In addition, the effects of bariatric surgery beyond blood pressure normalization are also analyzed, including those on target organs and cardiovascular morbidity and mortality. 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