Obesity increases the risk of heart failure, but obese heart failure patients have a better prognosis and survival. Altered cardiac energy metabolism is proposed to be an important contributor to this discrepancy. With an in vivo longitudinal approach measuring cardiac function (MRI), energetics (31P-MRS) and lipid content (1H-MRS) during the development of heart failure we have shown that cardiac function was less impaired in obese mice compared with lean mice after induction of pressure overload. This suggests that metabolic adaptations in obese mice are not detrimental and may even be beneficial in heart failure development.
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