<unk>  is defined as congestive heart failure due to structural and hemodynamic changes because of<unk> . Increased total blood volume and cardiac output because of the high metabolic activity of excessive fat in long-standing<unk>  may lead to left ventricular dilation, increased left ventricular wall stress, compensatory left ventricular hypertrophy, and left ventricular diastolic dysfunction. Inadequate hypertrophy might tend to left ventricular systolic dysfunction due to high wall stress, sleep apnea/<unk>  hypoventilation syndrome might tend to pulmonary hypertension and subsequent right ventricular structural changes.
My references (Temporary)
Obesity cardiomyopathy
Hypertrophic cardiomyopathy risk factors
Alcoholic cardiomyopathy
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Hypertrophic cardiomyopathy ischemia
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