共识文件:2型糖尿病患者心力衰竭的管理

Consensus document: management of heart failure in type 2 diabetes mellitus.

作者信息

Kaul Upendra, Ray Saumitra, Prabhakar D, Kochar Arun, Sharma Kamal, Hazra Prakash Kumar, Chandra Subhash, Solanki Dharmesh Ramakant Bhai, Dutta Anjan Lal, Kumar Viveka, Rao M Srinivas, Oomman Abraham, Dani Sameer, Pinto Brian, Raghu T R

机构信息

Batra Heart Centre and Dean Academics and Research of BHMRC, Batra Hospital & Medical Research Centre, 1, Tughlakabad Institutional Area, Mehrauli Badarpur Road, New Delhi, 110 062, India.

Heart Clinic, Kolkata, West Bengal, 700019, India.

出版信息

Heart Fail Rev. 2021 Sep;26(5):1037-1062. doi: 10.1007/s10741-020-09955-7.

Abstract

Type 2 diabetes mellitus (T2DM) is a known predisposing factor for heart failure (HF). The growing burden of these two conditions and their impact on health of the individual and on society in general needs urgent attention from the health care professionals. Availability of multiple treatment choices for managing T2DM and HF may make therapeutic decisions more complex for clinicians. Recent cardiovascular outcome trials of antidiabetic drugs have added very robust evidence to effectively manage subjects with this dual condition. This consensus statement provides the prevalence trends and the impact of this dual burden on patients. In addition, it concisely narrates the types of HF, the different treatment algorithms, and recommendations for physicians to comprehensively manage such patients.

摘要

2型糖尿病(T2DM)是已知的心力衰竭(HF)易感因素。这两种疾病日益加重的负担及其对个体健康乃至整个社会的影响,亟需医护人员的关注。用于管理T2DM和HF的多种治疗选择可能会使临床医生的治疗决策更加复杂。近期抗糖尿病药物的心血管结局试验为有效管理患有这种双重疾病的患者提供了非常有力的证据。本共识声明阐述了这种双重负担的流行趋势及其对患者的影响。此外,它简要叙述了HF的类型、不同的治疗算法以及对医生全面管理此类患者的建议。

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