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心力衰竭和糖尿病性心肌病的治疗策略现状。

Current status on the therapeutic strategies for heart failure and diabetic cardiomyopathy.

机构信息

Department of Physiology, College of Medicine, Cardiovascular and Metabolic Disease Center, Smart Marine Therapeutics Center, Inje University, Busan 47392, South Korea; Department of Health Sciences and Technology, Graduate School, Inje University, Busan 47392, South Korea.

Department of Internal Medicine, Inje University Haeundae Paik Hospital, College of Medicine, Cardiovascular and Metabolic Disease Center, Smart Marine Therapeutic Center, Inje University, Busan, South Korea.

出版信息

Biomed Pharmacother. 2022 Jan;145:112463. doi: 10.1016/j.biopha.2021.112463. Epub 2021 Nov 25.

Abstract

Heart failure (HF) is a leading cause of disease and death from cardiovascular diseases, with cardiovascular diseases accounting for the highest cases of deaths worldwide. The reality is that the quality-of-life survival for those suffering HF remains poor with 45-60% reported deaths within five years. Furthermore, cardiovascular disease is the foremost cause of mortality and disability in people with type 2 diabetes mellitus (T2DM), with T2DM patients having a two-fold greater risk of developing heart failure. The number of T2DM affected persons only continues to surge as there are more than 400 million adults affected by diabetes and an estimated 64.3 million affected by heart failure globally (1). In order to cater to the demands of modern society, the medical field has continuously improved upon the standards for clinical management and its therapeutic approaches. For this purpose, in this review, we aim to provide an overview of the current updates regarding heart failure, to include both heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF) and their respective treatments, while also diving further into heart failure and its correlation with diabetes and diabetic cardiomyopathy and their respective therapeutic approaches.

摘要

心力衰竭(HF)是心血管疾病导致疾病和死亡的主要原因,心血管疾病占全球死亡人数最多。实际上,HF 患者的生活质量和生存率仍然很差,报告称有 45-60%的患者在五年内死亡。此外,心血管疾病是 2 型糖尿病(T2DM)患者死亡和残疾的首要原因,T2DM 患者患心力衰竭的风险增加了两倍。受 T2DM 影响的人数还在不断增加,因为全球有超过 4 亿成年人受到糖尿病的影响,估计有 6430 万人受到心力衰竭的影响(1)。为了满足现代社会的需求,医疗领域不断提高临床管理标准及其治疗方法。为此,在这篇综述中,我们旨在概述心力衰竭的最新进展,包括射血分数降低的心力衰竭(HFrEF)和射血分数保留的心力衰竭(HFpEF)及其各自的治疗方法,同时深入探讨心力衰竭及其与糖尿病和糖尿病性心肌病的相关性及其各自的治疗方法。

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