Skip to main content
Home
Latest news
Browse topics
Cardiovascular disorders Chronic kidney disease Diabetes devices & technology GLP-1 receptor agonists Hyperglycemia Hypoglycemia Obesity, diet, & lifestyle interventions SGLT2 inhibitors Type 1 diabetes Type 2 diabetes Browse all topics
EN
EN
In focus
Novel clinical evidence in continuous glucose monitoring Fasting for religion and health in people with diabetes The challenge of type 2 diabetes in children HFpEF & diabetes: Diagnosis and management in the wake of EMPEROR-Preserved Addressing suicide risk in diabetes: Rates and risk factors, HCP fears, and practical advice The SURPASS trials: Summarizing efficacy data on tirzepatide Semaglutide for weight loss: STEP and SELECT trials: Results from the STEP and SELECT trials Why psychosocial care matters DiRECT: Type 2 diabetes remission through weight management
Congress coverage
EASD 58th Annual Meeting 2022 The American Diabetes Association 82nd Scientific Sessions
About us
Medicine Matters Diabetes
EXTENDED SEARCH

Heart failure and diabetes mellitus


Epidemiology

High prevalence of previously unknown heart failure and left ventricular dysfunction in patients with type 2 diabetes

This cross-sectional study assessed the prevalence of previously unknown heart failure and left ventricular dysfunction in elderly patients with type 2 diabetes.

Summary points
  • Patient population consisted of 581 individuals with type 2 diabetes, who did not have a diagnosis of heart failure confirmed by a cardiologist. Mean age was 71.6 years and 53.4% were male.
  • Previously unknown heart failure was diagnosed in 161 patients (27.7%).
  • Of these, 28 patients (4.8%) had reduced ejection fraction, while 133 patients (22.9%) had preserved ejection fraction.
  • The prevalence of heart failure increased with age and was higher in female than in male patients (31.0% vs 24.8%).
  • The prevalence of heart failure was higher in patients with BMI ≥30 kg/m2, dyspnea, fatigue and in those treated for hypertension (compared with patients who did not have these conditions).
  • Left ventricular dysfunction was found in 150 (25.8%) patients, with diastolic dysfunction accounting for the majority (146 patients, 25.1%) of cases.
  • Causes of heart failure were multi-factorial; the most common likely causes of heart failure were hypertension (82.0%), other ischemic heart disease (39.8%), diabetic cardiomyopathy (29.8%), valvular disease (23.6%) and prior myocardial infarction (23.0%).
  • Screening for heart failure should be considered in patients with type 2 diabetes.

Boonman-de Winter LJ et al. Diabetologia 2012; 55: 2154–2162. doi: 10.1007/s00125-012-2579-0

Contents

Back to collection

  1. Overview
  2. Epidemiology
  3. Pathophysiological mechanisms of heart failure in diabetes
  4. Assessment and screening
  5. Glycemic management and heart failure outcomes