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Many patients with HFpEF are either overweight or obese, and recent data have shown that increased body fat and its attendant metabolic sequelae have widespread, protean effects systemically and on the cardiovascular system leading to symptomatic HFpEF. The paucity of effective therapies in HFpEF underscores the importance of understanding the distinct pathophysiological mechanisms of obese HFpEF to develop novel therapies. In this review, we summarize the current understanding of the cardiovascular and non-cardiovascular features of the obese phenotype of HFpEF, how increased adiposity might pathophysiologically contribute to the phenotype, and how these processes might be targeted therapeutically.<\/jats:p>","DOI":"10.1093\/cvr\/cvac120","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T02:58:12Z","timestamp":1658804292000},"page":"3434-3450","source":"Crossref","is-referenced-by-count":457,"title":["Obesity and heart failure with preserved ejection fraction: new insights and pathophysiological targets"],"prefix":"10.1093","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9375-0596","authenticated-orcid":false,"given":"Barry A","family":"Borlaug","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Diseases, Mayo Clinic Rochester , 200 First Street SW, Rochester, MN 55905 , 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