Clinical Diabetes 22:61-65, 2004
© American Diabetes Association ®, Inc., 2004
Heart Failure: A Serious and Common Comorbidity of Diabetes
David S.H. Bell, MB, FACE
In Brief
Because of the cardiotoxic triad (diabetic cardiomyopathy, hypertension, and coronary artery disease), heart failure (HF) has an increased prevalence and worse prognosis in diabetic patients. Treatment of HF is directed to glycemic control and blockade of the renin-angiotensin and sympathetic nervous system, primarily with angiotensin-converting enzyme inhibitors and a combined -/ß-blocker. The goal is preventing and reversing myocardial remodeling, which will improve ventricular function.

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Copyright © 2004 by the American Diabetes Association.
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