首页> 外文期刊>European journal of heart failure: journal of the Working Group on Heart Failure of the European Society of Cardiology >Should antidiabetic treatment of type 2 diabetes in patients with heart failure differ from that in patients without?
【24h】

Should antidiabetic treatment of type 2 diabetes in patients with heart failure differ from that in patients without?

机译:心力衰竭患者的2型糖尿病的抗糖尿病治疗与非心力衰竭患者的抗糖尿病治疗是否应该有所不同?

获取原文
获取原文并翻译 | 示例
           

摘要

AimsPatients with type 2 diabetes are at high risk for developing heart failure. Evidence-based treatment recommendations with respect to the specific benefits or possible hazards of antidiabetic treatment are scarce.Methods and resultsIn a systematic search we only identified randomized, controlled trials for thiazolidinediones. Further evidence is largely based on subgroup analyses of larger intervention studies in mostly systolic heart failure, on observational studies, or on registries. Acknowledging this lack of data, hyperglycaemia should be treated to appropriate guideline-recommended targets and hypoglycaemia avoided until this evidence becomes available. Thiazolidinediones should not be used because of an increased event rate in diabetic patients with established heart failure and a large increase in incident heart failure. All other glucose-lowering strategies might be used in patients with diabetes and heart failure, but specific precautions must be considered.ConclusionsThe documented lack of data calls for specific trials, as diabetes and heart failure as well as their co-morbidities are highly prevalent and are becoming even more important with an increasing prevalence of obesity and an ageing population.
机译:目标2型糖尿病患者有发展为心力衰竭的高风险。关于抗糖尿病治疗的特定益处或可能危害的循证治疗建议很少。方法和结果在系统搜索中,我们仅发现了噻唑烷二酮类药物的随机对照试验。进一步的证据主要基于对大部分为收缩期心力衰竭的大型干预研究,观察性研究或登记册的亚组分析。认识到缺乏数据,应将高血糖症治疗至适当的指南推荐目标,并避免低血糖症,直到获得这一证据为止。不应使用噻唑烷二酮,因为已确诊的心力衰竭的糖尿病患者的事件发生率增加,而入射心力衰竭的发生率大大增加。所有其他降低血糖的策略都可用于糖尿病和心力衰竭患者,但必须考虑采取特殊的预防措施。结论由于缺乏数据记录,需要进行特定的试验,因为糖尿病和心力衰竭及其合并症非常普遍,随着肥胖率的上升和人口老龄化,这一点变得越来越重要。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号