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. 2023 Jan;135(Suppl 1):201-206.
doi: 10.1007/s00508-023-02183-7. Epub 2023 Apr 20.

[Diabetes mellitus, coronary artery disease and heart disease (Update 2023)]

[Article in German]
Martin Clodi  1   2 , Christoph H Saely  3   4   5 , Friedrich Hoppichler  6 , Michael Resl  7   8 , Clemens Steinwender  9 , Harald Stingl  10   11 , Thomas C Wascher  12 , Yvonne Winhofer  13 , Harald Sourij  14
Affiliations

[Diabetes mellitus, coronary artery disease and heart disease (Update 2023)]

[Article in German]
Martin Clodi et al. Wien Klin Wochenschr. 2023 Jan.

Abstract
in English, German

Diabetes mellitus, cardiovascular disease and heart failure are interacting dynamically. Patients being diagnosed with cardiovascular disease should be screened for diabetes mellitus. Enhanced cardiovascular risk stratification based on biomarkers, symptoms and classical risk factors should be performed in patients with preexisting diabetes mellitus. In patients with previously diagnosed arterosclerotic cardiovascular disease an agent proven to reduce major adverse cardiovascular events or cardiovascular mortality is recommended.

Die Zusammenhänge zwischen Diabetes mellitus, koronarer Herzkrankheit und Herzinsuffizienz sind wechselseitig. Bei Erstmanifestation einer koronaren Herzkrankheit sollte aktiv auf Diabetes mellitus gescreent werden, während bei an Diabetes mellitus erkrankten Patient:innen die kardiovaskuläre Risikostratifizierung immer in Zusammenschau sämtlicher Risikofaktoren, Biomarker und dem klinischen Befinden des Patient:innen durchgeführt werden sollte. Eine bereits bekannte kardiovaskuläre Erkrankung wie auch das Vorliegen zahlreicher Risikofaktoren stellen wesentliche Kriterien für die Auswahl der individuellen Therapiestrategien dar.

Keywords: Coronary artery disease; Diabetes mellitus; Heart failure; Heart failure in diabetes; Screening.

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