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Current status on the therapeutic strategies for heart failure and diabetic cardiomyopathy
Amy Hyein Kim1, Jung Eun Jang2, Jin Han1
1Department 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.
Insights
Heart failure (HF) survival is poor, especially for those with type 2 diabetes mellitus (T2DM). This review covers updated treatments for heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF), and their link to diabetes.
Area of Science:
- Cardiology
- Endocrinology
- Diabetology
Background:
- Heart failure (HF) is a major cause of cardiovascular death, with high mortality rates.
- Type 2 diabetes mellitus (T2DM) significantly increases the risk of developing HF.
- Global prevalence of both diabetes and HF continues to rise, necessitating updated management strategies.
Purpose of the Study:
- To provide an overview of current heart failure (HF) management.
- To discuss treatments for both heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF).
- To explore the relationship between HF, T2DM, and diabetic cardiomyopathy, including therapeutic approaches.
Main Methods:
- This is a review article.
- Literature search on current HF guidelines and T2DM comorbidities.
- Synthesis of information on HF subtypes and diabetes-related cardiac complications.
Main Results:
- Heart failure remains a critical condition with significant mortality.
- T2DM is a major risk factor for HF development and progression.
- Emerging therapeutic strategies address both HF and T2DM concurrently.
Conclusions:
- Updated treatment protocols for HFrEF and HFpEF are crucial.
- Understanding the interplay between T2DM and HF is vital for effective patient care.
- Integrated therapeutic approaches are needed for patients with comorbid HF and diabetes.
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.
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