2型糖尿病与心力衰竭的关系:美国心脏病学会第70届科学年会热点报道

Type 2 diabetes mellitus and heart failure: Hot topic report on 70th American College of Cardiology scientific annual meeting

2型糖尿病(type 2 diabetes mellitus,T2DM)与心力衰竭(heart failure,HF)相互影响,T2DM是HF的重要危险因素,两者合并则预后差,死亡率高。本文结合美国心脏病学会(American College of Cardiology,ACC)第70届科学年会相关热点和最新临床试验,从T2DM和HF的流行病学现状、T2DM与HF的关系,T2DM管理的心血管获益及循证证据基础上的指南推荐等多维度探讨HF患者糖尿病管理的重要性及优化管理策略,以期为HF合并糖尿病患者的临床干预提供理论依据。

Type 2 diabetes mellitus(T2DM)and heart failure(HF)often occur concomitantly and interact with each other,leading to poor prognosis and high mortality.T2DM is also an important risk factor for HF.Based on the relevant hot topics and late-breaking clinical trials of the 70th American College of Cardiology(ACC)scientific annual meeting,this paper elaborates on the importance of diabetes management and optimal management strategy for patients with diabetes and HF from aspects of epidemiology,the relationship between T2DM and HF,cardiovascular benefits of antihyperglycemic medication and evidence-based recommendations.