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糖尿病性心脏病:一种广泛存在的代谢紊乱与心血管系统之间的复杂相互作用。

Diabetic Heart Disease: An Intricate Interplay of a Widespread Metabolic Disorder with the Cardiovascular System.

作者信息

Shriya A S Kamakshi, Pawar Vaishnavi B, Paul Acsah Annie

机构信息

Department of Pharmacy Practice, JSS College of Pharmacy, JSS Academy of Higher Education and Research (JSSAHER), Mysuru, 570015, Karnataka, India.

出版信息

Curr Diabetes Rev. 2025;21(6):93-101. doi: 10.2174/0115733998305019240702095537.

DOI:10.2174/0115733998305019240702095537
PMID:38994615
Abstract

Diabetes is a chronic medical condition that causes high glycaemic levels, leading to damage to vital organs over time. It is a common disease worldwide, affecting around 422 million individuals living in middle- and low-income countries, which make up most of the population. Unfortunately, diabetes results in 1.5 million deaths annually. Diabetic patients are at a higher risk for developing cardiovascular conditions. Diabetic heart disease constitutes multiple genres, including diabetic cardiomyopathy, coronary artery disease, and heart failure. Hypoglycaemic agents aim to prevent these metabolic issues however some of these are cardiotoxic in nature. In contrast, other hypoglycaemic agents work beyond controlling glycaemic levels with their cardioprotective properties. Given that there is an alarming increase in diabetic heart disease cases universally, we have attempted to review the existing data on the topic and the effects of hypoglycaemic drugs on heart diseases.

摘要

糖尿病是一种慢性疾病,会导致血糖水平升高,随着时间的推移会损害重要器官。它是全球常见的疾病,影响着约4.22亿生活在中低收入国家的人,这些国家占世界人口的大多数。不幸的是,糖尿病每年导致150万人死亡。糖尿病患者患心血管疾病的风险更高。糖尿病性心脏病包括多种类型,如糖尿病心肌病、冠状动脉疾病和心力衰竭。降血糖药物旨在预防这些代谢问题,但其中一些药物具有心脏毒性。相比之下,其他降血糖药物除了控制血糖水平外,还具有心脏保护作用。鉴于全球糖尿病性心脏病病例惊人地增加,我们试图回顾关于该主题的现有数据以及降血糖药物对心脏病的影响。

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本文引用的文献

1
Cardiovascular outcomes in type 1 and type 2 diabetes.1 型和 2 型糖尿病的心血管结局。
Diabetologia. 2023 Mar;66(3):425-437. doi: 10.1007/s00125-022-05857-5. Epub 2023 Jan 14.
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The burden and risks of emerging complications of diabetes mellitus.糖尿病新并发症的负担和风险。
Nat Rev Endocrinol. 2022 Sep;18(9):525-539. doi: 10.1038/s41574-022-00690-7. Epub 2022 Jun 6.
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2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure.2021年欧洲心脏病学会急性和慢性心力衰竭诊断与治疗指南。
Eur Heart J. 2021 Sep 21;42(36):3599-3726. doi: 10.1093/eurheartj/ehab368.
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Mechanisms and Therapeutic Prospects of Diabetic Cardiomyopathy Through the Inflammatory Response.糖尿病心肌病通过炎症反应的机制及治疗前景
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Diabetic heart disease: A clinical update.糖尿病性心脏病:临床最新进展
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How Should We Sequence the Treatments for Heart Failure and a Reduced Ejection Fraction?: A Redefinition of Evidence-Based Medicine.我们应如何对射血分数降低的心力衰竭进行治疗排序?:循证医学的重新定义。
Circulation. 2021 Mar 2;143(9):875-877. doi: 10.1161/CIRCULATIONAHA.120.052926. Epub 2020 Dec 30.
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Genetics Insights in the Relationship Between Type 2 Diabetes and Coronary Heart Disease.2 型糖尿病与冠心病关系的遗传学研究进展。
Circ Res. 2020 May 22;126(11):1526-1548. doi: 10.1161/CIRCRESAHA.119.316065. Epub 2020 May 21.
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Diabetic Cardiomyopathy and Ischemic Heart Disease: Prevention and Therapy by Exercise and Conditioning.糖尿病性心肌病和缺血性心脏病:运动和调理的预防和治疗。
Int J Mol Sci. 2020 Apr 21;21(8):2896. doi: 10.3390/ijms21082896.
10
Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association.《2 型糖尿病患者稳定型冠状动脉疾病的临床管理:美国心脏协会的科学声明》。
Circulation. 2020 May 12;141(19):e779-e806. doi: 10.1161/CIR.0000000000000766. Epub 2020 Apr 13.