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糖尿病心肌病——全面更新的综述。

Diabetic cardiomyopathy - A comprehensive updated review.

机构信息

Department of Internal Medicine, Division of Cardiology, East Tennessee State University, Johnson City, TN, USA.

Department of Cardiology, Albert Einstein Healthcare Network, Philadelphia, PA, USA.

出版信息

Prog Cardiovasc Dis. 2019 Jul-Aug;62(4):315-326. doi: 10.1016/j.pcad.2019.03.003. Epub 2019 Mar 25.

Abstract

Diabetes causes cardiomyopathy and increases the risk of heart failure independent of hypertension and coronary heart disease. This condition called "Diabetic Cardiomyopathy" (DCM) is becoming a well- known clinical entity. Recently, there has been substantial research exploring its molecular mechanisms, structural and functional changes, and possible development of therapeutic approaches for the prevention and treatment of DCM. This review summarizes the recent advancements to better understand fundamental molecular abnormalities that promote this cardiomyopathy and novel therapies for future research. Additionally, different diagnostic modalities, up to date screening tests to guide clinicians with early diagnosis and available current treatment options has been outlined.

摘要

糖尿病可导致心肌病,并增加心力衰竭的风险,与高血压和冠心病无关。这种情况称为“糖尿病性心肌病”(DCM),已成为一种广为人知的临床病症。最近,大量研究探索了其分子机制、结构和功能变化,以及预防和治疗 DCM 的可能治疗方法。本综述总结了最近的进展,以更好地了解促进这种心肌病的基本分子异常,并为未来的研究提供新的治疗方法。此外,还概述了不同的诊断方式、最新的筛查测试,以指导临床医生进行早期诊断以及现有的治疗选择。

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