Heart failure in type 2 diabetes: current perspectives on screening, diagnosis and management.
Guidelines
Heart failure
NT-proBNP
Type 2 diabetes
Journal
Cardiovascular diabetology
ISSN: 1475-2840
Titre abrégé: Cardiovasc Diabetol
Pays: England
ID NLM: 101147637
Informations de publication
Date de publication:
06 11 2021
06 11 2021
Historique:
received:
20
09
2021
accepted:
25
10
2021
entrez:
6
11
2021
pubmed:
7
11
2021
medline:
18
11
2021
Statut:
epublish
Résumé
Type 2 diabetes is one of the most relevant risk factors for heart failure, the prevalence of which is increasing worldwide. The aim of the review is to highlight the current perspectives of the pathophysiology of heart failure as it pertains to type 2 diabetes. This review summarizes the proposed mechanistic bases, explaining the myocardial damage induced by diabetes-related stressors and other risk factors, i.e., cardiomyopathy in type 2 diabetes. We highlight the complex pathology of individuals with type 2 diabetes, including the relationship with chronic kidney disease, metabolic alterations, and heart failure. We also discuss the current criteria used for heart failure diagnosis and the gold standard screening tools for individuals with type 2 diabetes. Currently approved pharmacological therapies with primary use in type 2 diabetes and heart failure, and the treatment-guiding role of NT-proBNP are also presented. Finally, the influence of the presence of type 2 diabetes as well as heart failure on COVID-19 severity is briefly discussed.
Identifiants
pubmed: 34740359
doi: 10.1186/s12933-021-01408-1
pii: 10.1186/s12933-021-01408-1
pmc: PMC8571004
doi:
Substances chimiques
Biomarkers
0
Glycated Hemoglobin A
0
Peptide Fragments
0
hemoglobin A1c protein, human
0
pro-brain natriuretic peptide (1-76)
0
Natriuretic Peptide, Brain
114471-18-0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
218Subventions
Organisme : Roche Diagnostics International Ltd.
ID : Roche Diagnostics International Ltd.
Informations de copyright
© 2021. The Author(s).
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