Women and Diabetes: Preventing Heart Disease in a New Era of Therapies

Despite major advances in cardiovascular research over the past decade, women with type 2 diabetes have a high risk of cardiovascular events. Several factors contribute to the poor prognosis for women, including higher levels of frailty and comorbidities, but their cardiovascular risk is underestima...

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Autores principales: Giuseppe Galati, Pierre Sabouret, Olga Germanova, Deepak L Bhatt
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2021
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Acceso en línea:https://doaj.org/article/ec4ff1ff8efb43c3b5eb45f3380f1784
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spelling oai:doaj.org-article:ec4ff1ff8efb43c3b5eb45f3380f17842021-12-04T16:05:08ZWomen and Diabetes: Preventing Heart Disease in a New Era of Therapies10.15420/ecr.2021.221758-37641758-3756https://doaj.org/article/ec4ff1ff8efb43c3b5eb45f3380f17842021-10-01T00:00:00Zhttps://www.ecrjournal.com/articleindex/ecr.2021.22https://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764Despite major advances in cardiovascular research over the past decade, women with type 2 diabetes have a high risk of cardiovascular events. Several factors contribute to the poor prognosis for women, including higher levels of frailty and comorbidities, but their cardiovascular risk is underestimated and there is suboptimal implementation and uptitration of new evidence-based therapies, leading to high morbidity and mortality. Recent studies highlight the need for better management of diabetes in women that can be pursued and achieved in light of recent results from randomised controlled trials demonstrating evidence of the benefits of new therapeutic strategies in improving cardiovascular outcomes and quality of life of women covering the entire cardiovascular continuum. This review critically discusses the multiple benefits for women of new pharmacological treatments, such as glucagon-like peptide-1 receptor agonists, sodium–glucose cotransporter type 2 inhibitors (SGLT2i), proprotein convertase subtilisin/kexin type 9 inhibitors, inclisiran, icosapent ethyl and bempedoic acid in preventing cardiovascular events, and treatments, such as angiotensin receptor neprilysin inhibitors, SGLT2i, vericiguat and omecamtiv mecarbil, for preventing heart failure.Giuseppe GalatiPierre SabouretOlga GermanovaDeepak L BhattRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 16, Iss , Pp - (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Giuseppe Galati
Pierre Sabouret
Olga Germanova
Deepak L Bhatt
Women and Diabetes: Preventing Heart Disease in a New Era of Therapies
description Despite major advances in cardiovascular research over the past decade, women with type 2 diabetes have a high risk of cardiovascular events. Several factors contribute to the poor prognosis for women, including higher levels of frailty and comorbidities, but their cardiovascular risk is underestimated and there is suboptimal implementation and uptitration of new evidence-based therapies, leading to high morbidity and mortality. Recent studies highlight the need for better management of diabetes in women that can be pursued and achieved in light of recent results from randomised controlled trials demonstrating evidence of the benefits of new therapeutic strategies in improving cardiovascular outcomes and quality of life of women covering the entire cardiovascular continuum. This review critically discusses the multiple benefits for women of new pharmacological treatments, such as glucagon-like peptide-1 receptor agonists, sodium–glucose cotransporter type 2 inhibitors (SGLT2i), proprotein convertase subtilisin/kexin type 9 inhibitors, inclisiran, icosapent ethyl and bempedoic acid in preventing cardiovascular events, and treatments, such as angiotensin receptor neprilysin inhibitors, SGLT2i, vericiguat and omecamtiv mecarbil, for preventing heart failure.
format article
author Giuseppe Galati
Pierre Sabouret
Olga Germanova
Deepak L Bhatt
author_facet Giuseppe Galati
Pierre Sabouret
Olga Germanova
Deepak L Bhatt
author_sort Giuseppe Galati
title Women and Diabetes: Preventing Heart Disease in a New Era of Therapies
title_short Women and Diabetes: Preventing Heart Disease in a New Era of Therapies
title_full Women and Diabetes: Preventing Heart Disease in a New Era of Therapies
title_fullStr Women and Diabetes: Preventing Heart Disease in a New Era of Therapies
title_full_unstemmed Women and Diabetes: Preventing Heart Disease in a New Era of Therapies
title_sort women and diabetes: preventing heart disease in a new era of therapies
publisher Radcliffe Medical Media
publishDate 2021
url https://doaj.org/article/ec4ff1ff8efb43c3b5eb45f3380f1784
work_keys_str_mv AT giuseppegalati womenanddiabetespreventingheartdiseaseinaneweraoftherapies
AT pierresabouret womenanddiabetespreventingheartdiseaseinaneweraoftherapies
AT olgagermanova womenanddiabetespreventingheartdiseaseinaneweraoftherapies
AT deepaklbhatt womenanddiabetespreventingheartdiseaseinaneweraoftherapies
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