Positionspapier Herzinsuffizienz und Diabetes

Katharina Schütt; Jens Aberle; Johann Bauersachs; Andreas Birkenfeld; Stefan Frantz; Manfred Ganz; Stephan Jacob; Monika Kellerer; Matthias Leschke; Christoph Liebetrau; Nikolaus Marx; Dirk Müller-Wieland; Philip Raake; Paul Christian Schulze; Diethelm Tschöpe; Stephan von Haehling; Thomas A. Zelniker; Thomas Forst

doi:10.1055/a-1867-3026

Diabetologie und Stoffwechsel, Table of Contents

Diabetologie und Stoffwechsel 2022; 17(04): 277-288
DOI: 10.1055/a-1867-3026

Positionspapier

Positionspapier Herzinsuffizienz und Diabetes

Heart failure and diabetes

Katharina Schütt

¹Klinik für Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum RWTH Aachen, Aachen, Deutschland

,

Jens Aberle

²Ambulanzzentrum für Endokrinologie, Diabetologie, Adipositas und Lipide/Klinik und Poliklinik für Nephrologie, Rheumatologie und Endokrinologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

,

Johann Bauersachs

³Klinik für Kardiologie und Angiologie, Medizinische Hochschule Hannover, Hannover, Deutschland

,

Andreas Birkenfeld

⁴Klinik für Diabetologie, Endokrinologie und Nephrologie, Universitätsklinikum Tübingen, Tübingen, Deutschland

⁵Helmholtz Zentrum München und Deutsches Zentrum für Diabetesforschung (DZD e. V.), Neuherberg, Deutschland

,

Stefan Frantz

⁶Medizinische Klinik I, Universitätsklinikum Würzburg, Würzburg, Deutschland

,

Manfred Ganz

⁷Ganzvital Beratung in der Gesundheitswirtschaft, Bexbach/Saar, Deutschland

,

Stephan Jacob

⁸Praxis für Prävention und Therapie, Villingen-Schwenningen, Deutschland

,

Monika Kellerer

⁹Klinik für Diabetologie, Endokrinologie, Allgemeine Innere Medizin, Kardiologie, Angiologie, Internistische Intensivmedizin, Marienhospital Stuttgart, Stuttgart, Deutschland

,

Matthias Leschke

¹⁰Klinik für Kardiologie, Angiologie und Pneumologie, Klinikum Esslingen, Esslingen a. N., Deutschland

,

Christoph Liebetrau

¹¹CCB Cardioangiologisches Centrum Bethanien, Frankfurt a.M., Deutschland

,

Nikolaus Marx

¹Klinik für Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum RWTH Aachen, Aachen, Deutschland

,

Dirk Müller-Wieland

¹Klinik für Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum RWTH Aachen, Aachen, Deutschland

,

Philip Raake

¹²Klinik für Kardiologie, Angiologie und Pneumologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

,

Paul Christian Schulze

¹³Klinik für Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum Jena, Jena, Deutschland

¹⁴Kommission für Klinische Kardiovaskuläre Medizin, Deutsche Gesellschaft für Kardiologie, Düsseldorf, Deutschland

,

Diethelm Tschöpe

¹⁵Herz- und Diabeteszentrum NRW, Universitätsklinik, Ruhr-Universität Bochum, Bad Oeynhausen, Deutschland

¹⁶Stiftung DHD (Der herzkranke Diabetiker) in der Deutschen Diabetes-Stiftung, Bad Oeynhausen, Deutschland

,

Stephan von Haehling

¹⁷Klinik für Kardiologie und Pneumologie, Herzzentrum Göttingen, Universitätsmedizin Göttingen, Göttingen, Deutschland

¹⁸Standort Göttingen, Deutsches Zentrum für Herz- und Kreislauﬀorschung (DZHK), Göttingen, Deutschland

,

Thomas A. Zelniker

¹⁹Universitätsklinik für Kardiologie, Medizinische Universität Wien, Wien, Österreich

,

Thomas Forst

²⁰CRS Clinical Research Services Mannheim GmbH, Mannheim, Deutschland

› Author Affiliations

Abstract

Zusammenfassung

Diabetes mellitus (DM) stellt eine wichtige Komorbidität bei Patienten mit Herzinsuffizienz dar, die maßgeblich die Prognose der Patienten determiniert. Von entscheidender Bedeutung zur Verbesserung der Prognose dieser Hochrisiko-Patienten ist daher eine frühzeitige Diagnostik und differenzierte medikamentöse Therapie mit Ausschöpfung aller möglichen Therapieoptionen und Absetzen potenziell schädlicher Substanzen. Das gemeinsame Positionspapier der Deutschen Gesellschaft für Kardiologie (DGK) und der Deutschen Diabetes Gesellschaft (DDG) fasst die vorhandene wissenschaftliche Evidenz zusammen und gibt Empfehlungen, was bei der Diagnose und Therapie der Herzinsuffizienz und des DM zu beachten ist, um die Prognose zu verbessern.

Abstract

Diabetes is a very important and preventable risk factor for the development of heart failure and a frequent comorbidity observed in patients with heart failure with increased cardiovascular morbidity and mortality. Therefore, it is of clinical importance to treat both diseases as early as possible with an optimal therapy. This joint position paper of the DGK and DDG outlines the scientific evidence and provides recommendations about diagnosis and therapy of heart failure and diabetes to improve outcome.

Schlüsselwörter

Herzinsuffizienz - Diabetes mellitus - Screening - Diagnose - Therapie

Keywords

heart failure - diabetes - screening - diagnosis - therapy

Full Text

References

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