REVIEW PAPER
Diabetes, pre-diabetes and cardiovascular diseases in light of the 2019 ESC Guidelines
1
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
2
2nd Cardiology Clinic, Swietokrzyskie Cardiology Center, Kielce, Poland
3
Intensive Cardiac Care Unit, Swietokrzyskie Cardiology Center, Kielce, Poland
Submission date: 2020-04-16
Final revision date: 2020-05-08
Acceptance date: 2020-06-12
Publication date: 2020-06-30
Medical Studies 2020;36(2):148-155
KEYWORDS
TOPICS
ABSTRACT
The prevalence of diabetes mellitus (DM) is steadily increasing all over the world. DM is associated with a doubling of cardiovascular (CV) risk independently of other risk factors. The European Society of Cardiology (ESC) in collaboration with the European Association for the Study of Diabetes (EASD) presented a new set of guidelines on diabetes, pre-diabetes and cardiovascular diseases at the ESC 2019 Congress in Paris. The most important changes in the guidelines include a new assessment of CV risk in DM patients, an algorithm for glucose-lowering treatment, prevention of CV diseases including new targets for the treatment of dyslipidemia taking into account CV risk and recommendations for antiplatelet/antithrombotic drugs. Furthermore, attention focused on the management of DM concomitant with coronary artery disease and heart failure, as well as individualized therapeutic strategies for diabetic patients with arterial hypertension.
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