Article (Scientific journals)
Insuffisance cardiaque et diabete
ANCION, Arnaud; Lancellotti, Patrizio; Pierard, Luc
2005In Revue Médicale de Liège, 60 (5-6, May-Jun), p. 536-40
Peer reviewed
 

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Abstract :
[en] Diabetic patients frequently develop heart failure and have a guarded prognosis because of the combination of diabetic cardiomyopathy, hypertension and ischaemic heart disease. The lack of patient awareness of the association between diabetes and cardiovascular disease contributes to the risk of heart failure in the diabetic population. Therefore, physicians should consider the risk of comorbidities and use appropriate screening tests to achieve early identification and initiate preventive strategies. There is evidence suggesting that adequate glycaemic control may improve cardiac metabolism and myocardial function in diabetics with heart failure. Improvement in cardiac function engendered by neurohumoral inhibition is associated with a decrease in mortality that is at least as great in the diabetic patients with heart failure as it is in the non diabetic patients. However, several therapeutic interventions have not yet been specifically validated in diabetic subjects. Thus, physicians should be encouraged to use therapies tested in the diabetic population, such as B-blockers and ACE inhibitors. Diabetic patients would benefit from more aggressive preventive programs aimed at reducing the incidence of cardiovascular morbidity and mortality.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
ANCION, Arnaud  ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Insuffisance cardiaque - Transplantation
Lancellotti, Patrizio  ;  Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
Pierard, Luc ;  Université de Liège - ULiège > Département des sciences cliniques > Cardiologie - Pathologie spéciale et réhabilitation
Language :
French
Title :
Insuffisance cardiaque et diabete
Alternative titles :
[en] Congestive Heart Failure and Diabetes Mellitus
Publication date :
2005
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
60
Issue :
5-6, May-Jun
Pages :
536-40
Peer reviewed :
Peer reviewed
Available on ORBi :
since 21 June 2013

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