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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
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Interdisciplinary assessment and diagnostic algorithm: The role of the cardiologist
Giuseppe M C Rosano1, Cristiana Vitale1, Giuseppe Maltese1
1St George's Hospital Medical School, London, United Kingdom; IRCCS San Raffaele Roma, Italy; St Heliers and Epsom Hospital, United Kingdom.
Diabetes Research and Clinical Practice
|May 6, 2021
Summary
Diabetic patients face higher risks of heart failure (HF). A stepwise approach using natriuretic peptides and echocardiography, alongside multidisciplinary management, is crucial for diagnosing and treating HF in these individuals.
Area of Science:
- Cardiology
- Endocrinology
- Metabolic Diseases
Background:
- Diabetes mellitus significantly increases the risk of developing heart failure (HF).
- Patients with HF have a higher incidence of developing diabetes.
- Antidiabetic medications and metabolic changes in diabetes can exacerbate HF risk.
Purpose of the Study:
- To outline a diagnostic and management strategy for heart failure in patients with diabetes mellitus.
- To emphasize the bidirectional relationship between diabetes and heart failure.
- To advocate for a holistic, multidisciplinary approach to patient care.
Main Methods:
- A stepwise diagnostic approach utilizing natriuretic peptides and echocardiography to rule out HF.
- Phenotyping HF based on left ventricular function after diagnosis.
- Employing additional tests to identify underlying causes of HF, such as coronary artery disease.
Main Results:
- The study proposes a structured method for identifying and managing HF in diabetic patients.
- It highlights the need for comprehensive evaluation beyond individual conditions.
- The importance of a multidisciplinary team for holistic patient care is underscored.
Conclusions:
- A stepwise approach involving natriuretic peptides and echocardiography is recommended for HF diagnosis in diabetic patients.
- Defining HF phenotype and investigating secondary causes are critical.
- Multidisciplinary heart failure management programs are essential for optimal care of diabetic patients with HF.
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