Coronary heart disease in Diabetics: Difference between revisions

Jump to navigation Jump to search
(/* Recommendations for assessing cardiovascular risk in patients with type 2 diabetes{{cite journal| author=Marx N, Federici M, Schütt K, Müller-Wieland D, Ajjan RA, Antunes MJ | display-authors=etal| title=2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes. | journal=Eur Heart J | year= 2023 | volume= 44 | issue= 39 | pages= 4043-4140 | pmid=37622663 | doi=10.1093/eurheartj/ehad192 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfr...)
(Replaced content with "__NOTOC__ {{ADA guidelines}} {{CMG}} {{AE}} {{SCh}}; {{MehdiP}}; {{TarekNafee}} ==2016 ADA Standards of Medical Care in Diabetes Guidelines<ref name="urlcare.diabetesjournals.org">{{cite web |url=http://care.diabetesjournals.org/content/suppl/2015/12/21/39.Supplement_1.DC2/2016-Standards-of-Care.pdf |title=care.diabetesjournals.org |format= |work= |accessdate=}}</ref>== ===Screening=== {|class="wikitable" | bgcolor="Seashell"|<nowiki>"</nowiki>'''1.'''In asymptomatic...")
Tag: Replaced
 
(18 intermediate revisions by the same user not shown)
Line 23: Line 23:
|-
|-
|}
|}
==2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes<ref name="pmid37622663">{{cite journal| author=Marx N, Federici M, Schütt K, Müller-Wieland D, Ajjan RA, Antunes MJ | display-authors=etal| title=2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes. | journal=Eur Heart J | year= 2023 | volume= 44 | issue= 39 | pages= 4043-4140 | pmid=37622663 | doi=10.1093/eurheartj/ehad192 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=37622663  }} </ref>==
===Recommendations for diagnosing diabetes<ref name="pmid37622663">{{cite journal| author=Marx N, Federici M, Schütt K, Müller-Wieland D, Ajjan RA, Antunes MJ | display-authors=etal| title=2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes. | journal=Eur Heart J | year= 2023 | volume= 44 | issue= 39 | pages= 4043-4140 | pmid=37622663 | doi=10.1093/eurheartj/ehad192 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=37622663  }} </ref>===
{|class="wikitable"
|-
| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
|-
| bgcolor="LightGreen"|"'''1.'''Screening for diabetes is recommended in all individuals with CVD, using fasting glucose and/or HbA1C<ref name="pmid33298413">{{cite journal| author=American Diabetes Association| title=2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2021. | journal=Diabetes Care | year= 2021 | volume= 44 | issue= Suppl 1 | pages= S15-S33 | pmid=33298413 | doi=10.2337/dc21-S002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33298413  }} </ref><ref name="pmid20978099">{{cite journal| author=Colagiuri S, Lee CM, Wong TY, Balkau B, Shaw JE, Borch-Johnsen K | display-authors=etal| title=Glycemic thresholds for diabetes-specific retinopathy: implications for diagnostic criteria for diabetes. | journal=Diabetes Care | year= 2011 | volume= 34 | issue= 1 | pages= 145-50 | pmid=20978099 | doi=10.2337/dc10-1206 | pmc=3005450 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20978099  }} </ref><ref name="pmid27216887">{{cite journal| author=Sattar N, Preiss D| title=Diabetic microvascular complications as simple indicators of risk for cardiovascular outcomes and heart failure. | journal=Lancet Diabetes Endocrinol | year= 2016 | volume= 4 | issue= 7 | pages= 555-6 | pmid=27216887 | doi=10.1016/S2213-8587(16)30097-3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27216887  }} </ref><ref name="pmid35022686">{{cite journal| author=Mak KH, Vidal-Petiot E, Young R, Sorbets E, Greenlaw N, Ford I | display-authors=etal| title=Prevalence of diabetes and impact on cardiovascular events and mortality in patients with chronic coronary syndromes, across multiple geographical regions and ethnicities. | journal=Eur J Prev Cardiol | year= 2022 | volume= 28 | issue= 16 | pages= 1795-1806 | pmid=35022686 | doi=10.1093/eurjpc/zwab011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=35022686  }} </ref> ''([[ACC AHA guidelines classification  scheme#Level of Evidence|Level of Evidence:  A]])''"
|-
| bgcolor="LightGreen"|”'''2.'''It is recommended that the diagnosis of diabetes is based on HbA1C and/or fasting plasma glucose, or on an OGTT if still in doubt<ref name="pmid12502614">{{cite journal| author=Expert Committee on the Diagnosis and Classification of Diabetes Mellitus| title=Report of the expert committee on the diagnosis and classification of diabetes mellitus. | journal=Diabetes Care | year= 2003 | volume= 26 Suppl 1 | issue=  | pages= S5-20 | pmid=12502614 | doi=10.2337/diacare.26.2007.s5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12502614  }} </ref><ref name="pmid20067953">{{cite journal| author=Cowie CC, Rust KF, Byrd-Holt DD, Gregg EW, Ford ES, Geiss LS | display-authors=etal| title=Prevalence of diabetes and high risk for diabetes using A1C criteria in the U.S. population in 1988-2006. | journal=Diabetes Care | year= 2010 | volume= 33 | issue= 3 | pages= 562-8 | pmid=20067953 | doi=10.2337/dc09-1524 | pmc=2827508 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20067953  }} </ref><ref name="pmid30425094">{{cite journal| author=Arslanian S, Bacha F, Grey M, Marcus MD, White NH, Zeitler P| title=Evaluation and Management of Youth-Onset Type 2 Diabetes: A Position Statement by the American Diabetes Association. | journal=Diabetes Care | year= 2018 | volume= 41 | issue= 12 | pages= 2648-2668 | pmid=30425094 | doi=10.2337/dci18-0052 | pmc=7732108 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30425094  }} </ref>''([[ACC AHA guidelines classification  scheme#Level of Evidence|Level of Evidence:  B]])''"
|}
===Recommendations for assessing cardiovascular risk in patients with type 2 diabetes<ref name="pmid37622663">{{cite journal| author=Marx N, Federici M, Schütt K, Müller-Wieland D, Ajjan RA, Antunes MJ | display-authors=etal| title=2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes. | journal=Eur Heart J | year= 2023 | volume= 44 | issue= 39 | pages= 4043-4140 | pmid=37622663 | doi=10.1093/eurheartj/ehad192 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=37622663  }} </ref>===
{|class="wikitable"
|-
| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
|-
| bgcolor="LightGreen"|"'''1.''' It is recommended to screen patients with diabetes for the presence of severe TOD (target organ damage)<ref name="pmid23013602">{{cite journal| author=Fox CS, Matsushita K, Woodward M, Bilo HJ, Chalmers J, Heerspink HJ | display-authors=etal| title=Associations of kidney disease measures with mortality and end-stage renal disease in individuals with and without diabetes: a meta-analysis. | journal=Lancet | year= 2012 | volume= 380 | issue= 9854 | pages= 1662-73 | pmid=23013602 | doi=10.1016/S0140-6736(12)61350-6 | pmc=3771350 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23013602  }} </ref><ref name="pmid27216886">{{cite journal| author=Brownrigg JR, Hughes CO, Burleigh D, Karthikesalingam A, Patterson BO, Holt PJ | display-authors=etal| title=Microvascular disease and risk of cardiovascular events among individuals with type 2 diabetes: a population-level cohort study. | journal=Lancet Diabetes Endocrinol | year= 2016 | volume= 4 | issue= 7 | pages= 588-97 | pmid=27216886 | doi=10.1016/S2213-8587(16)30057-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27216886  }} </ref>''([[ACC AHA guidelines classification  scheme#Level of Evidence|Level of Evidence:  A]])''"
|-
| bgcolor="LightGreen"|”'''2.'''It is recommended to asses medical history and the presence of symptoms suggestive of ASCVD (Atherosclerotic cardiovascular disease) in patients with diabetes<ref name="pmid33496366">{{cite journal| author=Ling J, Koye D, Buizen L, Khunti K, Montvida O, Paul SK| title=Temporal trends in co-morbidities and cardiometabolic risk factors at the time of type 2 diabetes diagnosis in the UK. | journal=Diabetes Obes Metab | year= 2021 | volume= 23 | issue= 5 | pages= 1150-1161 | pmid=33496366 | doi=10.1111/dom.14323 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33496366  }} </ref><ref name="pmid21403036">{{cite journal| author=Wannamethee SG, Shaper AG, Whincup PH, Lennon L, Sattar N| title=Impact of diabetes on cardiovascular disease risk and all-cause mortality in older men: influence of age at onset, diabetes duration, and established and novel risk factors. | journal=Arch Intern Med | year= 2011 | volume= 171 | issue= 5 | pages= 404-10 | pmid=21403036 | doi=10.1001/archinternmed.2011.2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21403036  }} </ref><ref name="pmid31301314">{{cite journal| author=Nelson AJ, Peterson ED, Pagidipati NJ| title=Atherosclerotic cardiovascular disease and heart failure: Determinants of risk and outcomes in patients with diabetes. | journal=Prog Cardiovasc Dis | year= 2019 | volume= 62 | issue= 4 | pages= 306-314 | pmid=31301314 | doi=10.1016/j.pcad.2019.07.001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31301314  }} </ref>''([[ACC AHA guidelines classification  scheme#Level of Evidence|Level of Evidence:  B]])''"
|-
| bgcolor="LightGreen"|”'''3.'''In patients with T2DM without symptomatic ASCVD or severe TOD, it is recommended to estimate 10-year CVD risk via SCORE2-Diabetes''<ref name="pmid37247330">{{cite journal| author=SCORE2-Diabetes Working Group and the ESC Cardiovascular Risk Collaboration| title=SCORE2-Diabetes: 10-year cardiovascular risk estimation in type 2 diabetes in Europe. | journal=Eur Heart J | year= 2023 | volume= 44 | issue= 28 | pages= 2544-2556 | pmid=37247330 | doi=10.1093/eurheartj/ehad260 | pmc=10361012 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=37247330  }} </ref>([[ACC AHA guidelines classification  scheme#Level of Evidence|Level of Evidence:  B]])''"
|}
==References==
{{Reflist|2}}
{{WH}}{{WS}}

Latest revision as of 02:00, 15 February 2024

2016 ADA Guideline Recommendations

Types of Diabetes Mellitus

Main Diabetes Page

Diabetes type I

Diabetes type II

Gestational Diabetes Mellitus

2016 ADA Standard of Medical Care Guideline Recommendations

Strategies for Improving Care

Classification and Diagnosis of Diabetes

Foundations of Care and Comprehensive Medical Evaluation

Diabetes Self-Management, Education, and Support
Nutritional Therapy

Prevention or Delay of Type II Diabetes

Glycemic Targets

Obesity Management for Treatment of Type II Diabetes

Approaches to Glycemic Treatment

Cardiovascular Disease and Risk Management

Hypertension and Blood Pressure Control
Lipid Management
Antiplatelet Agents
Coronary Heart Disease

Microvascular Complications and Foot Care

Diabetic Kidney Disease
Diabetic Retinopathy
Diabetic Neuropathy
Diabetic Footcare

Older Adults with Diabetes

Children and Adolescents with Diabetes

Management of Cardiovascular Risk Factors in Children and Adolescents with Diabetes
Microvascular Complications in Children and Adolescents with Diabetes

Management of Diabetes in Pregnancy

Diabetes Care in the Hospital Setting

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]; Seyedmahdi Pahlavani, M.D. [3]; Tarek Nafee, M.D. [4]

2016 ADA Standards of Medical Care in Diabetes Guidelines[1]

Screening

"1.In asymptomatic patients, routine screening for coronary artery disease is not recommended as it does not improve outcomes as long as atherosclerotic cardiovascular disease risk factors are treated (Level of Evidence: A)"
"2. Consider investigations for coronary artery disease in the presence of any of the following: atypical cardiac symptoms (e.g., unexplained dyspnea, chest discomfort); signs or symptoms of associated vascular disease including carotid bruits, transient ischemic attack, stroke, claudication, or peripheral arterial disease; or electrocardiogram abnormalities (e.g., Q waves) (Level of Evidence: E)"

Treatment

"1.In patients with known atherosclerotic cardiovascular disease, use aspirin and statin therapy (if not contraindicated) "(Level of Evidence: A)" and consider ACE inhibitor therapy. (Level of Evidence: C) to reduce the risk of cardiovascular events."
"2.In patients with prior myocardial infarction, b-blockers should be continued for at least 2 years after the event (Level of Evidence: B)"
"3.In patients with symptomatic heart failure, thiazolidinedione treatment should not be used (Level of Evidence: A)"
"4.In patients with type 2 diabetes with stable congestive heart failure, metformin may be used if renal function is normal but should be avoided in unstable or hospitalized patients with congestive heart failure (Level of Evidence: B)"
  1. "care.diabetesjournals.org" (PDF).