Management of Type 2 Diabetes in Stage C Heart Failure with Reduced Ejection Fraction

Type 2 diabetes is an increasingly common comorbidity of stage C heart failure with reduced ejection fraction (HFrEF). The two diseases are risk factors for each other and can bidirectionally independently worsen outcomes. The regulatory requirement of cardiovascular outcomes trials for antidiabetic...

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Main Authors: Anjali Agarwalla, Jadry Gruen, Carli Peters, Lauren Sinnenberg, Anjali T Owens, Nosheen Reza
Format: Article
Language:English
Published: Radcliffe Medical Media 2022-03-01
Series:Cardiac Failure Review
Online Access:https://www.cfrjournal.com/articleindex/cfr.2021.31
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author Anjali Agarwalla
Jadry Gruen
Carli Peters
Lauren Sinnenberg
Anjali T Owens
Nosheen Reza
author_facet Anjali Agarwalla
Jadry Gruen
Carli Peters
Lauren Sinnenberg
Anjali T Owens
Nosheen Reza
author_sort Anjali Agarwalla
collection DOAJ
description Type 2 diabetes is an increasingly common comorbidity of stage C heart failure with reduced ejection fraction (HFrEF). The two diseases are risk factors for each other and can bidirectionally independently worsen outcomes. The regulatory requirement of cardiovascular outcomes trials for antidiabetic agents has led to an emergence of novel therapies with robust benefits in heart failure, and clinicians must now ensure they are familiar with the management of patients with concurrent diabetes and stage C HFrEF. This review summarises the current evidence for the management of type 2 diabetes in stage C HFrEF, recapitulating data from landmark heart failure trials regarding the use of guideline-directed medical therapy for heart failure in patients with diabetes. It also provides a preview of upcoming clinical trials in these populations.
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spelling doaj.art-64ee33af64ef462bbc9fd739ad5bf3922024-04-20T16:02:47ZengRadcliffe Medical MediaCardiac Failure Review2057-75402057-75592022-03-01810.15420/cfr.2021.31Management of Type 2 Diabetes in Stage C Heart Failure with Reduced Ejection FractionAnjali Agarwalla0Jadry Gruen1Carli Peters2Lauren Sinnenberg3Anjali T Owens4Nosheen Reza5Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USDivision of Cardiovascular Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, PA, USDivision of Cardiovascular Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, PA, USDivision of Cardiovascular Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, PA, USDivision of Cardiovascular Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, PA, USDivision of Cardiovascular Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, PA, USType 2 diabetes is an increasingly common comorbidity of stage C heart failure with reduced ejection fraction (HFrEF). The two diseases are risk factors for each other and can bidirectionally independently worsen outcomes. The regulatory requirement of cardiovascular outcomes trials for antidiabetic agents has led to an emergence of novel therapies with robust benefits in heart failure, and clinicians must now ensure they are familiar with the management of patients with concurrent diabetes and stage C HFrEF. This review summarises the current evidence for the management of type 2 diabetes in stage C HFrEF, recapitulating data from landmark heart failure trials regarding the use of guideline-directed medical therapy for heart failure in patients with diabetes. It also provides a preview of upcoming clinical trials in these populations.https://www.cfrjournal.com/articleindex/cfr.2021.31
spellingShingle Anjali Agarwalla
Jadry Gruen
Carli Peters
Lauren Sinnenberg
Anjali T Owens
Nosheen Reza
Management of Type 2 Diabetes in Stage C Heart Failure with Reduced Ejection Fraction
Cardiac Failure Review
title Management of Type 2 Diabetes in Stage C Heart Failure with Reduced Ejection Fraction
title_full Management of Type 2 Diabetes in Stage C Heart Failure with Reduced Ejection Fraction
title_fullStr Management of Type 2 Diabetes in Stage C Heart Failure with Reduced Ejection Fraction
title_full_unstemmed Management of Type 2 Diabetes in Stage C Heart Failure with Reduced Ejection Fraction
title_short Management of Type 2 Diabetes in Stage C Heart Failure with Reduced Ejection Fraction
title_sort management of type 2 diabetes in stage c heart failure with reduced ejection fraction
url https://www.cfrjournal.com/articleindex/cfr.2021.31
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