Diabetic cardiomyopathy: a comprehensive review of diagnosis, management, and future directions

Bhagyalakshmi Balakrishnan1, Divyashree M Somashekara1, Veena Nayak2

  • 1Department of Biotechnology, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India.

PubMed

Insights

Diabetic cardiomyopathy, characterized by heart changes and dysfunction, poses a significant health challenge. This review explores current and novel diagnostic and treatment strategies for this diabetes complication.

Area of Science:

  • Cardiology
  • Endocrinology
  • Biomedical Research

Background:

  • Diabetic cardiomyopathy (DCM) is a distinct cardiac pathology in diabetes, leading to fibrosis, hypertrophy, and heart failure.
  • Diagnosis is challenging, necessitating advanced imaging and specialized techniques beyond routine tests.
  • Current treatments primarily manage diabetes and its complications, often inadequately addressing DCM directly.

Purpose of the Study:

  • To review current diagnostic and therapeutic approaches for diabetic cardiomyopathy.
  • To evaluate the benefits and limitations of existing strategies.
  • To explore novel diagnostic biomarkers and therapeutic interventions, including gene therapy and RNA-mediated regulation.

Main Methods:

  • Comprehensive literature review of diagnostic tools (echocardiography, MRI, PET) and treatments (GLP-1 modulators, SGLT-2 inhibitors).
  • Analysis of emerging therapies like gene therapy and noncoding RNA.
  • Discussion of biomarkers for screening, diagnosis, and treatment response.

Main Results:

  • Current diagnostic methods provide insights but face limitations in early detection.
  • Standard treatments focus on glycemic control and complication management.
  • Novel approaches like gene therapy and RNA-based strategies show promise for targeted DCM intervention.

Conclusions:

  • Diabetic cardiomyopathy requires integrated diagnostic and therapeutic strategies.
  • Advancements in biomarkers and novel therapies offer potential for improved patient outcomes.
  • Further research is crucial for effective management and prevention of diabetic cardiomyopathy.

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