Consensus document: management of heart failure in type 2 diabetes mellitus
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Consensus document: management of heart failure in type 2 diabetes mellitus Upendra Kaul 1 & Saumitra Ray 2 & D. Prabhakar 3 & Arun Kochar 4 & Kamal Sharma 5 & Prakash Kumar Hazra 6 & Subhash Chandra 7 & Dharmesh Ramakant Bhai Solanki 8 & Anjan Lal Dutta 9 & Viveka Kumar 10 & M. Srinivas Rao 11 & Abraham Oomman 12 & Sameer Dani 13 & Brian Pinto 14 & T. R. Raghu 15
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Type 2 diabetes mellitus (T2DM) is a known predisposing factor for heart failure (HF). The growing burden of these two conditions and their impact on health of the individual and on society in general needs urgent attention from the health care professionals. Availability of multiple treatment choices for managing T2DM and HF may make therapeutic decisions more complex for clinicians. Recent cardiovascular outcome trials of antidiabetic drugs have added very robust evidence to effectively manage subjects with this dual condition. This consensus statement provides the prevalence trends and the impact of this dual burden on patients. In addition, it concisely narrates the types of HF, the different treatment algorithms, and recommendations for physicians to comprehensively manage such patients. Keywords Type 2 diabetes mellitus . Heart failure . Trials . Diagnosis . Drug
Introduction Type 2 diabetes mellitus (T2DM) is a well-known predisposing factor for heart failure (HF) and patients with this combination have adverse outcomes, and higher mortality rates compared with those presenting with a single condition [1, 2]. The pathophysiology of both these conditions is closely interlinked [3,4,5]. Early identification
* Upendra Kaul [email protected] 1
Batra Heart Centre and Dean Academics and Research of BHMRC, Batra Hospital & Medical Research Centre, 1, Tughlakabad Institutional Area, Mehrauli Badarpur Road, New Delhi 110 062, India
2
Heart Clinic, Kolkata, West Bengal 700019, India
3
Apollo First Med Hospitals, Chennai 600 010, India
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Fortis Hospital, Mohali, Punjab 160062, India
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SAL Hospital & Medical Institute, Ahmedabad, Gujarat 380054, India
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AMRI Hospital, Kolkata, West Bengal 700029, India
7
BLK Super Speciality Hospital, Pusa Road, Karol Bagh, New Delhi 110005, India
and optimal and immediate intervention in such cases result in better outcomes. This consensus document provides evidence-based guidance on risk factors and diagnostic and prognostic factors, which could help in appropriate management to reduce morbidity and mortality. The management strategies for patients with different phenotypes of HF having coexisting T2DM are also discussed.
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Cardiac Consultants, 502/503 Hem Arcade, Dr Yagnik Road, Yagnik Road, Rajkot 360001, India
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Peerless Hospital, Pancha Sayar Rd, Sahid Smirity Colony, Pancha Sayar, 700094, Kolkata, West Bengal, India
10
Cath Labs MSSH (East) Saket, Max Super Speciality Hospital, New Delhi 110017, India
11
Care Hospitals, Road No 1, Banjara Hills, Hyderabad 500034, India
12
Apollo Hospitals Greams Road Chennai, A
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