Therapeutic strategy for diabetic patients with cardiovascular-kidney-metabolic syndrome

Jing Huang1,2, Pei-Yuan Zuo1,2, Cun-Tai Zhang1,2

  • 1Department of Geriatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan 430030, China.

PubMed

Insights

Cardiovascular-kidney-metabolic (CKM) syndrome involves complex interactions between heart, kidney, and metabolic health, increasing risks. Certain antidiabetic drugs offer cardiorenal benefits, guiding CKM management strategies.

Area of Science:

  • Internal Medicine
  • Cardiology
  • Nephrology
  • Endocrinology

Background:

  • Cardiovascular-kidney-metabolic (CKM) syndrome is a multisystemic condition driven by interactions between cardiovascular disease, chronic kidney disease, and metabolic risk factors.
  • This syndrome results in multiorgan dysfunction, significantly increasing the risk of cardiovascular events and adverse renal outcomes.
  • CKM syndrome represents a substantial burden of morbidity and mortality globally.

Purpose of the Study:

  • To review common antidiabetic agents with demonstrated cardiorenal benefits.
  • To elaborate on the clinical efficacy of these agents in managing cardiovascular and kidney outcomes.
  • To inform the development of a holistic CKM management framework and enhance clinical documentation skills.

Main Methods:

  • Literature review of antidiabetic agents with cardiorenal benefits.
  • Analysis of clinical trial data on efficacy in cardiovascular and kidney outcomes.
  • Synthesis of findings to propose a CKM management framework.

Main Results:

  • Several classes of antidiabetic drugs exhibit significant cardiorenal protective effects.
  • These agents have shown efficacy in reducing cardiovascular events and slowing the progression of kidney disease.
  • Individualized and precision medicine approaches are crucial for effective CKM management.

Conclusions:

  • Antidiabetic drugs with cardiorenal benefits are pivotal in managing CKM syndrome.
  • A comprehensive management strategy integrating pharmacotherapy and personalized approaches is essential.
  • Further research and education are needed to optimize CKM care and clinical documentation.

Related Concept Videos

Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
835
Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
763
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
316
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
195
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
869
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
283