Cardiac: patient usually have hypertension and left ventricular hypertrophy. Pulmonary hypertension may also present.
Pulmonary: there is increased ventilation/perfusion mismatch from decreased functional residual capacity
Gastrointestinal: often the stomach is dispensed upward because of the extra abdominal, placing them at risk for good
Renal: the patient may have hypertensive nephropathy
Neurological: hyper somnolence is frequently observed with increased sensitivity to aesthetic agents
