Department of Vascular Physiopathology, Hospital Nacional de Paraplejicos (HNP), SESCAM, 45071 Toledo, Spain.
Department of Cardiology, Hospital Universitario 12 de Octubre and Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), 28041 Madrid, Spain.
Int J Mol Sci. 2021 Jun 9;22(12):6212. doi: 10.3390/ijms22126212.
Aortic stenosis (AS) and diabetes mellitus (DM) are both progressive diseases that if left untreated, result in significant morbidity and mortality. Several studies revealed that the prevalence of DM is substantially higher in patients with AS and, thus, the progression from mild to severe AS is greater in those patients with DM. DM and common comorbidities associated with both diseases, DM and AS, increase patient management complexity and make aortic valve replacement the only effective treatment. For that reason, a better understanding of the pathogenesis underlying both these diseases and the relationships between them is necessary to design more appropriate preventive and therapeutic approaches. In this review, we provided an overview of the main aspects of the relationship between AS and DM, including common comorbidities and risk factors. We also discuss the established treatments/therapies in patients with AS and DM.
主动脉瓣狭窄(AS)和糖尿病(DM)都是进行性疾病,如果不进行治疗,会导致严重的发病率和死亡率。多项研究表明,AS 患者中 DM 的患病率明显更高,因此,DM 患者从轻度 AS 进展为重度 AS 的比例更高。DM 以及与这两种疾病相关的常见合并症会增加患者管理的复杂性,使得主动脉瓣置换成为唯一有效的治疗方法。因此,为了设计更合适的预防和治疗方法,有必要更好地了解这两种疾病的发病机制及其相互关系。在这篇综述中,我们概述了 AS 和 DM 之间关系的主要方面,包括常见的合并症和危险因素。我们还讨论了 AS 和 DM 患者的既定治疗方法。