Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000146.xml
Diabetes aktuell 2020; 18(04): 150-154
DOI: 10.1055/a-1173-3156
DOI: 10.1055/a-1173-3156
Schwerpunkt
Therapie von kardiovaskulären Begleiterkrankungen bei Diabetes im Alter
Further Information
Publication History
Publication Date:
26 June 2020 (online)
ZUSAMMENFASSUNG
Viele kardiologische Erkrankungen sind altersassoziiert, das heißt, ihre Inzidenz und Prävalenz nimmt mit dem Alter zu. Neben den allgemeinen Grundlagen der kardiologischen Behandlung gibt es bei hochbetagten Patienten mit Diabetes mellitus klinische und therapeutische Besonderheiten, die im vorliegenden Artikel anhand der für die Altersmedizin besonders relevanten Krankheitsbilder – koronare Herzerkrankung (KHK) mit akutem Koronarsyndrom (ACS), arterielle Hypertonie und Vorhofflimmern (AF) – dargestellt werden sollen.
-
Literatur
- 1 Moran AE, Forouzanfar MH, Roth GA. et al Temporal trends in ischemic heart disease mortality in 21 world regions, 1980 to 2010: the Global Burden of Disease 2010 study. Circulation 2014; 129: 1483-1492 doi:10.1161/CIRCULATIONAHA.113.004042
- 2 Cosentino F, Grant PJ, Aboyans V. et al 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD: The Task Force for diabetes, pre-diabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and the European Association for the Study of Diabetes (EASD). Eur Heart J 2020; 41: 255-323 doi:10.1093/eurheartj/ehz486
- 3 Hakeem A, Garg N, Bhatti S. et al Effectiveness of percutaneous coronary intervention with drug-eluting stents compared with bypass surgery in diabetics with multivessel coronary disease: comprehensive systematic review and meta-analysis of randomized clinical data. J Am Heart Assoc 2013; 2: e000354 doi:10.1161/JAHA.113.000354
- 4 Verma S, Farkouh ME, Yanagawa B. et al Comparison of coronary artery bypass surgery and percutaneous coronary intervention in patients with diabetes: a meta-analysis of randomised controlled trials. Lancet Diabetes Endocrinol 2013; 1: 317-328 doi:10.1016/S2213-8587(13)70089-5
- 5 Nashef SA, Roques F, Sharples LD. et al EuroSCORE II. Eur J Cardiothorac Surg 2012; 41: 734-745 doi:10.1093/ejcts/ezs043
- 6 Bach RG, Cannon CP, Giugliano RP. et al Effect of simvastatin-ezetimibe compared with simvastatin monotherapy after acute coronary syndrome among patients 75 years or older: A secondary analysis of a randomized clinical trial. JAMA Cardiol 2019; 4: 846-854 doi:10.1001/jamacardio.2019.2306
- 7 Mansi I, Frei CR, Pugh MJ. et al Statins and musculoskeletal conditions, arthropathies, and injuries. JAMA Intern Med 2013; 173: 1-10 doi:10.1001/jamainternmed.2013.6184.
- 8 Grunwald SA, Popp O, Haafke S. et al Statin-induced myopathic changes in primary human muscle cells and reversal by a prostaglandin F2 alpha analogue. Sci Rep 2020; 10: 2158 doi:10.1038/s41598-020-58668-2
- 9 Bahrmann A, Benner L, Christ M. et al The Charlson Comorbidity and Barthel Index predict length of hospital stay, mortality, cardiovascular mortality and rehospitalization in unselected older patients admitted to the emergency department. Aging Clin Exp Res 2019; 31: 1233-1242 doi:10.1007/s40520-018-1067-x
- 10 Shan L, Saxena A, McMahon R. et al Coronary artery bypass graft surgery in the elderly: a review of postoperative quality of life. Circulation 2013; 128: 2333-2343 doi:10.1161/CIRCULATIONAHA.112.000729
- 11 Rich MW, Chyun DA, Skolnick AH. et al Knowledge gaps in cardiovascular care of the older adult population. A scientific statement from the American Heart Association, American College of Cardiology, and American Geriatrics Society. Circulation 2016; 133: 2103-2122 doi:10.1161/CIR.0000000000000380
- 12 Ibanez B, James S, Agewall S. et al 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2017; 39: 119-177 doi:10.1093/eurheartj/ehx393
- 13 Bahrmann P, Bertsch T, Giannitsis E. et al Quantification of renal function and cardiovascular mortality in patients admitted to the emergency department with suspected acute coronary syndromes. Clin Lab 2017; 63: 1457-1466 doi:10.7754/Clin.Lab.2017.170326
- 14 Bahrmann A, Bahrmann P, Baumann J. et al S2k-Leitlinie Diagnostik, Therapie und Verlaufskontrolle des Diabetes mellitus im Alter. Diabetologie 2018; 13: 423-489 doi:10.1055/a-0666-0820
- 15 Bahrmann P, Christ M, Bahrmann A. et al A 3-hour diagnostic algorithm for non-ST-elevation myocardial infarction using high-sensitivity cardiac troponin T in unselected older patients presenting to the emergency department. J Am Med Dir Assoc 2013; 14: 409-416 doi:10.1016/j.jamda.2012.12.005
- 16 Thygesen K, Alpert JS, Jaffe AS. et al Fourth universal definition of myocardial infarction. Eur Heart J 2018; 40: 237-269 doi:10.1093/eurheartj/ehy462
- 17 Neumann FJ, Sousa-Uva M, Ahlsson A. et al 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J 2019; 40: 87-165 doi:10.1093/eurheartj/ehy394
- 18 Williams B, Mancia G, Spiering W. et al 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J 2018; 39: 3021-3104 doi:10.1093/eurheartj/ehy339
- 19 Kirchhof P, Benussi S, Kotecha D. et al 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J 2016; 37: 2893-2962 doi:10.1093/eurheartj/ehw210
- 20 Bahrmann P, Christ M. Antikoagulation bei Vorhofflimmern im Alter. Herz 2018; 43: 214-221 doi:10.1007/s00059-017-4665-z