Lorenzo-Almorós A, Cepeda-Rodrigo J M, Lorenzo Ó
Servicio de Medicina Interna, Fundación Jiménez Díaz. Madrid, España.
Servicio de Medicina Interna, Hospital Vega Baja, Orihuela, Alicante, España.
Rev Clin Esp. 2020 Feb 24. doi: 10.1016/j.rce.2019.10.013.
The relationship between diabetes and heart failure is complex and bidirectional. Nevertheless, the existence of a cardiomyopathy attributable exclusively to diabetes has been and is still the subject of controversy, due, among other reasons, to a lack of a consensus definition. There is also no unanimous agreement in terms of the physiopathogenic findings that need to be present in the definition of diabetic cardiomyopathy or on its classification, which, added to the lack of diagnostic methods and treatments specific for this disease, limits its general understanding. Studies conducted on diabetic cardiomyopathy, however, suggest a unique physiopathogenesis different from that of other diseases. Similarly, new treatments have been shown to play a potential role in this disease. The following review provides an update on diabetic cardiomyopathy.
糖尿病与心力衰竭之间的关系复杂且呈双向性。然而，仅由糖尿病引起的心肌病的存在一直且仍然是争议的主题，除其他原因外，这是由于缺乏共识性定义。在糖尿病性心肌病定义中所需的病理生理发现或其分类方面也没有一致意见，再加上缺乏针对该疾病的诊断方法和治疗方法，限制了人们对它的总体认识。然而，对糖尿病性心肌病进行的研究表明，其病理生理机制与其他疾病不同。同样，新的治疗方法已显示在这种疾病中发挥潜在作用。以下综述提供了关于糖尿病性心肌病的最新信息。
