Type 2 Diabetes Mellitus and Heart Failure, A Scientific Statement From the American Heart Association and Heart Failure Society of America

被引:68
作者
Dunlay, Shannon M.
Givertz, Michael M.
Aguilar, David
Allen, Larry A.
Chan, Michael
Desai, Akshay S.
Deswal, Anita
Dickson, Victoria Vaughan
Kosiborod, Mikhail N.
Lekavich, Carolyn L.
McCoy, Rozalina G.
Mentz, Robert J.
Pina, Ileana L.
机构
基金
美国国家卫生研究院;
关键词
AHA Scientific Statement; Diabetes mellitus; type; 2; Drug therapy; Heart failure; Lifestyle; Risk factors; LEFT-VENTRICULAR DYSFUNCTION; GLUCAGON-LIKE PEPTIDE-1; CARDIAC-RESYNCHRONIZATION THERAPY; QUALITY-OF-LIFE; IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; DIPEPTIDYL PEPTIDASE-4 INHIBITORS; MILD PATIENTS HOSPITALIZATION; CONVERTING ENZYME-INHIBITORS; PRESERVED EJECTION FRACTION; ASSIST DEVICE IMPLANTATION;
D O I
10.1016/j.cardfail.2019.05.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Type 2 diabetes mellitus is a risk factor for incident heart failure and increases the risk of morbidity and mortality in patients with established disease. Secular trends in the prevalence of diabetes mellitus and heart failure forecast a growing burden of disease and underscore the need for effective therapeutic strategies. Recent clinical trials have demonstrated the shared pathophysiology between diabetes mellitus and heart failure, the synergistic effect of managing both conditions, and the potential for diabetes mellitus therapies to modulate the risk of heart failure outcomes. This scientific statement on diabetes mellitus and heart failure summarizes the epidemiology, pathophysiology, and impact of diabetes mellitus and its control on outcomes in heart failure; reviews the approach to pharmacological therapy and lifestyle modification in patients with diabetes mellitus and heart failure; highlights the value of multidisciplinary interventions to improve clinical outcomes in this population; and outlines priorities for future research.
引用
收藏
页码:584 / 619
页数:36
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