Heart failure and diabetes mellitus: insight into comorbidity

Diabetes mellitus (DM) and heart failure (HF) are frequent comorbidities with a bidirectional relationship. Patients with HF have increased risk of developing DM, and those with DM are at greater risk of developing HF. HF does not fit clearly into the microangiopathy and macroangiopathy groups. It i...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Nina A. Petunina, Ivan V. Trukhin, Liubov V. Trukhina, Zhanna M. Sizova, Valeria L. Zakharova
Formato: article
Lenguaje:EN
RU
Publicado: Endocrinology Research Centre 2019
Materias:
Acceso en línea:https://doaj.org/article/676cc3c6b1e94ee5b0b38a3d85ae121a
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:676cc3c6b1e94ee5b0b38a3d85ae121a
record_format dspace
spelling oai:doaj.org-article:676cc3c6b1e94ee5b0b38a3d85ae121a2021-11-14T09:00:22ZHeart failure and diabetes mellitus: insight into comorbidity2072-03512072-037810.14341/DM9784https://doaj.org/article/676cc3c6b1e94ee5b0b38a3d85ae121a2019-03-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/9784https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Diabetes mellitus (DM) and heart failure (HF) are frequent comorbidities with a bidirectional relationship. Patients with HF have increased risk of developing DM, and those with DM are at greater risk of developing HF. HF does not fit clearly into the microangiopathy and macroangiopathy groups. It is known that coronary artery disease and arterial hypertension are the major causes of HF; however, it has been shown that DM can trigger functional and structural abnormalities in the myocardium via diabetic cardiomyopathy, a condition with either restrictive or dilated phenotype. While HF treatment is equally effective and safe in patients with and without DM, this statement is not applicable for antidiabetic treatment. Several antidiabetic drugs, such as rosiglitazone, pioglitazone and saxagliptin increase the risk of hospitalisation for HF, therefore these antidiabetic drugs are contraindicated in patients with DM and HF or patients at risk of developing HF. Despite a large number of clinical evidence, uncertainty about the safety of antidiabetic drugs in patients with HF always exists. In this review, the issues of DM treatment in patients with HF are addressed in detail.Nina A. PetuninaIvan V. TrukhinLiubov V. TrukhinaZhanna M. SizovaValeria L. ZakharovaEndocrinology Research Centrearticlediabetes mellitusheart failurediabetic cardiomyopathycomorbidityNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 22, Iss 1, Pp 79-87 (2019)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetes mellitus
heart failure
diabetic cardiomyopathy
comorbidity
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetes mellitus
heart failure
diabetic cardiomyopathy
comorbidity
Nutritional diseases. Deficiency diseases
RC620-627
Nina A. Petunina
Ivan V. Trukhin
Liubov V. Trukhina
Zhanna M. Sizova
Valeria L. Zakharova
Heart failure and diabetes mellitus: insight into comorbidity
description Diabetes mellitus (DM) and heart failure (HF) are frequent comorbidities with a bidirectional relationship. Patients with HF have increased risk of developing DM, and those with DM are at greater risk of developing HF. HF does not fit clearly into the microangiopathy and macroangiopathy groups. It is known that coronary artery disease and arterial hypertension are the major causes of HF; however, it has been shown that DM can trigger functional and structural abnormalities in the myocardium via diabetic cardiomyopathy, a condition with either restrictive or dilated phenotype. While HF treatment is equally effective and safe in patients with and without DM, this statement is not applicable for antidiabetic treatment. Several antidiabetic drugs, such as rosiglitazone, pioglitazone and saxagliptin increase the risk of hospitalisation for HF, therefore these antidiabetic drugs are contraindicated in patients with DM and HF or patients at risk of developing HF. Despite a large number of clinical evidence, uncertainty about the safety of antidiabetic drugs in patients with HF always exists. In this review, the issues of DM treatment in patients with HF are addressed in detail.
format article
author Nina A. Petunina
Ivan V. Trukhin
Liubov V. Trukhina
Zhanna M. Sizova
Valeria L. Zakharova
author_facet Nina A. Petunina
Ivan V. Trukhin
Liubov V. Trukhina
Zhanna M. Sizova
Valeria L. Zakharova
author_sort Nina A. Petunina
title Heart failure and diabetes mellitus: insight into comorbidity
title_short Heart failure and diabetes mellitus: insight into comorbidity
title_full Heart failure and diabetes mellitus: insight into comorbidity
title_fullStr Heart failure and diabetes mellitus: insight into comorbidity
title_full_unstemmed Heart failure and diabetes mellitus: insight into comorbidity
title_sort heart failure and diabetes mellitus: insight into comorbidity
publisher Endocrinology Research Centre
publishDate 2019
url https://doaj.org/article/676cc3c6b1e94ee5b0b38a3d85ae121a
work_keys_str_mv AT ninaapetunina heartfailureanddiabetesmellitusinsightintocomorbidity
AT ivanvtrukhin heartfailureanddiabetesmellitusinsightintocomorbidity
AT liubovvtrukhina heartfailureanddiabetesmellitusinsightintocomorbidity
AT zhannamsizova heartfailureanddiabetesmellitusinsightintocomorbidity
AT valerialzakharova heartfailureanddiabetesmellitusinsightintocomorbidity
_version_ 1718429533678338048