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Management of Comorbid Diabetes Mellitus and Worsening Heart Failure

Management of Comorbid Diabetes Mellitus and Worsening Heart Failure Opinion Management of Comorbid Diabetes Mellitus VIEWPOINT and Worsening Heart Failure Type 2 diabetes mellitus affects 25.8 million adults in myocytes and has been associated with cardiac dys- Sadiya S. Khan, MD Center for the United States and accounts for attributable health function and heart failure. Once heart failure is Cardiovascular care costs exceeding $174 billion. Although it is well present in individuals with diabetes mellitus, there is a Innovation, established that the leading cause of death in patients 10-fold increase in mortality and a 5-year survival rate Northwestern with diabetes mellitus is related to cardiovascular dis- of only 12.5%, a prognosis worse than metastatic University Feinberg School of Medicine, ease, the importance of heart failure among patients breast cancer. Chicago, Illinois. with diabetes has been underappreciated. Among Patients with heart failure are also at an increased older individuals with diabetes mellitus, approxi- risk of developing insulin resistance, glucose intoler- Javed Butler, MD, mately 22% have heart failure. Conversely, the bur- ance, and diabetes mellitus. In one clinical trial, more MPH den of heart failure constitutes more than 1 million than one-fifth of patients with heart failure developed Division of Cardiology, Emory University, hospital admissions annually in the United http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Management of Comorbid Diabetes Mellitus and Worsening Heart Failure

JAMA , Volume 311 (23) – Jun 18, 2014

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2014.4115
pmid
24938559
Publisher site
See Article on Publisher Site

Abstract

Opinion Management of Comorbid Diabetes Mellitus VIEWPOINT and Worsening Heart Failure Type 2 diabetes mellitus affects 25.8 million adults in myocytes and has been associated with cardiac dys- Sadiya S. Khan, MD Center for the United States and accounts for attributable health function and heart failure. Once heart failure is Cardiovascular care costs exceeding $174 billion. Although it is well present in individuals with diabetes mellitus, there is a Innovation, established that the leading cause of death in patients 10-fold increase in mortality and a 5-year survival rate Northwestern with diabetes mellitus is related to cardiovascular dis- of only 12.5%, a prognosis worse than metastatic University Feinberg School of Medicine, ease, the importance of heart failure among patients breast cancer. Chicago, Illinois. with diabetes has been underappreciated. Among Patients with heart failure are also at an increased older individuals with diabetes mellitus, approxi- risk of developing insulin resistance, glucose intoler- Javed Butler, MD, mately 22% have heart failure. Conversely, the bur- ance, and diabetes mellitus. In one clinical trial, more MPH den of heart failure constitutes more than 1 million than one-fifth of patients with heart failure developed Division of Cardiology, Emory University, hospital admissions annually in the United

Journal

JAMAAmerican Medical Association

Published: Jun 18, 2014

References