[HTML][HTML] Clinical overview of diabetes mellitus as a risk factor for cardiovascular death

E Abuelgasim, S Shah, B Abuelgasim… - Reviews in …, 2021 - imrpress.com
E Abuelgasim, S Shah, B Abuelgasim, N Soni, A Thomas, M Elgasim, A Harky
Reviews in Cardiovascular Medicine, 2021imrpress.com
Global diabetes mellitus prevalence is increasing. Metabolic disorders, such as type 2
diabetes, are associated with abnormal cardiac electrophysiology and increased risk of
arrhythmias. Patients with both diabetes types (1 and 2) suffer from sudden cardac death
(SCD) as a leading cause of mortality. Cardiovascular death is defined as death attributable
to cardiovascular disease (CVD) occurring shortly within the symptom onset. This usually
arises from life-threatening ventricular tachyarrhythmias that lead to hemodynamic …
Global diabetes mellitus prevalence is increasing. Metabolic disorders, such as type 2 diabetes, are associated with abnormal cardiac electrophysiology and increased risk of arrhythmias. Patients with both diabetes types (1 and 2) suffer from sudden cardac death (SCD) as a leading cause of mortality. Cardiovascular death is defined as death attributable to cardiovascular disease (CVD) occurring shortly within the symptom onset. This usually arises from life-threatening ventricular tachyarrhythmias that lead to hemodynamic instability, and subsequent shock and death. A variety of pathways have been suggested that link hypoglycaemia to the development of adverse cardiovascular outcomes, including blood coagulation abnormalities, inflammation, endothelial dysfunction and sympathoadrenal responses. We propose a four-step framework for the optimisation of SCD risk factors in diabetic patients, to include: raising awareness to influence health behaviour, provision of screening programs, use of technology within educational programs to improve patient engagement and effective provision of diabetic community teams.
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