Servicio de Medicina Interna, Fundación Jiménez Díaz, Madrid, Spain.
Servicio de Medicina Interna, Hospital Vega Baja, Orihuela, Alicante, Spain.
Rev Clin Esp (Barc). 2022 Feb;222(2):100-111. doi: 10.1016/j.rceng.2019.10.012. Epub 2020 Oct 23.
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相互影响。然而，由于缺乏共识定义等原因，单纯由糖尿病引起的心肌病的存在一直是且仍然是一个有争议的话题。在定义糖尿病性心肌病或对其进行分类时，需要存在哪些病理生理发现方面也没有一致的意见，加上缺乏针对这种疾病的诊断方法和治疗方法，这限制了对它的普遍理解。然而，对糖尿病性心肌病的研究表明，其病理生理学机制与其他疾病不同。同样，新的治疗方法也显示出在这种疾病中有潜在作用。以下综述介绍了糖尿病性心肌病的最新研究进展。
