How obesity, high blood pressure and lipid imbalance trigger heart disease

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Understanding our heart’s health is like deciphering a puzzle, where various pieces come together to reveal the larger picture of our overall well-being.

A recently conducted study has spotlighted how specific risk factors, notably obesity, high blood pressure, and abnormal cholesterol levels, can alter the way our hearts produce energy, potentially leading to heart diseases down the road.

Our heart, that tireless muscle pumping away in our chest, requires a continuous supply of energy to maintain its rhythmic contractions throughout our lives.

The primary fuel sources it utilizes are fats and glucose (a form of sugar).

However, disturbances in how the heart absorbs these fuels – termed as metabolic substrates – could be a precursor to severe conditions like heart disease, often surfacing many years later.

This revelation is based on research published in the journal Diabetes Care and was conducted by a team at the Centro Nacional de Investigaciones Cardiovasculares (CNIC), spearheaded by cardiologists Valentín Fuster and Borja Ibáñez.

Impressively, these alterations in heart energy utilization were identified early in seemingly healthy middle-aged individuals, offering a unique insight into how diseases could potentially be pre-empted.

Dr. Ibáñez, who serves in multiple esteemed roles including CNIC Scientific Director and a leading cardiologist at Hospital Universitario Fundación Jiménez Díaz, emphasized the significance of identifying these early heart changes.

He believes it will “increase our knowledge of the mechanisms involved in the onset of diseases like heart failure” and thereby open up pathways for developing early interventions.

Interlinking Metabolic Factors and Heart Health

The study paid specific attention to metabolic risk factors tied to metabolic syndrome, which includes central obesity (reflected in an increased waist circumference), high levels of triglycerides, low levels of good (HDL) cholesterol, elevated blood sugar, insulin resistance, and high blood pressure.

Ana Devesa, the first author of the study, emphasized that besides these risk factors, individuals displaying altered cardiac metabolism were also prone to early stages of atherosclerosis, a condition where the arteries become clogged and rigid, posing significant risk for heart attacks and strokes.

Atherosclerosis, despite being a prime cause of death globally, often remains silently in the background for an extended period before manifesting symptoms, making early detection and its correlation with other conditions crucial.

Delving Deeper with the PESA-CNIC-Santander Study

One pathway through which researchers have sought to unravel the mysteries of atherosclerotic disease and its onset is the PESA-CNIC-Santander study.

Launched in 2010 through a collaboration between CNIC and Santander Bank, directed by Dr. Valentín Fuster, this ongoing study, set to extend until at least 2029, aims to identify and understand the progression of early subclinical atherosclerosis.

Involving over 4,200 apparently healthy middle-aged bank employees, participants are periodically examined using advanced imaging and comprehensive analysis of blood samples, providing a wealth of data over nearly two decades.

It stands out as a unique global initiative that aims to unravel the intricate relations between various risk factors and their longitudinal implications on our cardiovascular health.

In essence, understanding how our hearts manipulate energy, and observing this in tandem with potential risk factors, could offer us a telescope into our cardiovascular future.

Identifying these correlations not only broadens our comprehension of these intricate processes but also potentially enables us to formulate early interventions, effectively altering the trajectories of our heart health before issues manifest into tangible problems.

This unison of current findings with ongoing long-term studies propels us closer to unraveling and potentially mitigating the latent complexities within our cardiovascular systems.

If you care about nutrition, please read studies about why vitamin K is so important for older people, and this snack food may harm your heart rhythm.

For more information about heart health, please see recent studies about new way to prevent heart attacks and strokes, and results showing this drug for heart disease may reduce COVID-19 risk.

The research findings can be found in Diabetes Care.

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