Heart Failure and Cardiac Dysfunction in Diabetes

  • Lawrence H. Young
  • Raymond R. RussellIII
  • Deborah Chyun
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

Heart failure is a well-recognized clinical problem in patients with diabetes. The Framingham Heart Study demonstrated that patients with diabetes have an increased incidence of heart failure, which contributes significantly to their high cardiovascular morbidity and mortality (1,2). The age-adjusted risk of developing heart failure was 2.4 times higher in diabetic than in nondiabetic men. In women, the impact of diabetes was even more striking, with the risk of heart failure being 5.1 times greater in the presence of diabetes. The incidence of heart failure in older patients was substantial: 22–27 per 1000 patient years over 18 years. Although Framingham and many other studies did not distinguish between patients with type 1 and type 2 diabetes, the majority of their patients had type 2 diabetes. However, in the era before treatment with combined oral hypoglycemic agents, many patients with type 2 diabetes were treated with insulin and such patients had a four- to fivefold increased risk of heart failure compared to nondiabetic patients.

Keywords

Ischemia Neuropathy Radionuclide Ketone Angiotensin 

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Copyright information

© Humana Press Inc., Totowa, NJ 2005

Authors and Affiliations

  • Lawrence H. Young
    • 1
  • Raymond R. RussellIII
    • 1
  • Deborah Chyun
    • 2
  1. 1.Department of Internal Medicine (Cardiovascular Medicine)Yale University School of MedicineNew Haven
  2. 2.Adult Advanced Practice Nursing SpecialityYale University School of NursingNew Haven

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