Herz

, Volume 35, Issue 3, pp 140–146

Diabetes und Herzinsuffizienz

  • Christian A. Schneider
  • Roman Pfister
  • Erland Erdmann
Article

Zusammenfassung

Die Herzinsuffizienz ist eine häufige Komplikation des Typ-2-Diabetes und mit einer schlechten Prognose vergesellschaftet. Wie für herzinsuffiziente Patienten ohne Diabetes mellitus gelten alle diagnostischen und therapeutischen Prinzipien in gleicher Weise; diabetesspezifische prospektive Studien fehlen bislang allerdings. Der optimale HbA1c-Zielwert für diese Patientengruppe ist genauso unbekannt wie die optimale blutzuckersenkende Therapie. In Ermangelung prospektiv- randomisierter Studien muss sich die Behandlung deshalb an allgemeinen Therapieprinzipien (Nebenwirkungsarmut, Kombinationstherapie, patientenfreundliche Dosierung, Kosten) orientieren.

Schlüsselwörter:

Diabetes Herzinsuffizienz Diagnostik NT-proBNP ACE-Hemmer β-Blocker Insulin Glitazon 

Diabetes and Heart Failure

Abstract

Heart failure is a common complication of type 2 diabetes and bears a poor prognosis. For patients with diabetes and heart failure the commonly accepted standards for diagnosis and treatment of heart failure are to be applied, although prospective diabetes- specific trials are lacking. The optimum HbA1c target value as well as the optimum blood glucoselowering treatment are not known. Due to an absence of prospective randomized trials the treatment should follow general therapeutic principles (low incidence of side effects, combination therapy, patient-friendly dosage, costs).

Key Words:

Diabetes Heart failure Diagnosis NT-proBNP ACE inhibitors β-blockers Insulin Glitazones 

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Copyright information

© Urban & Vogel, Muenchen 2010

Authors and Affiliations

  • Christian A. Schneider
    • 1
    • 2
  • Roman Pfister
    • 1
  • Erland Erdmann
    • 1
  1. 1.Klinik III für Innere Medizin, HerzzentrumUniversität zu KölnKölnGermany
  2. 2.Klinik III für Innere Medizin, HerzzentrumUniversität zu KölnKölnGermany

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