Glucose Metabolism Abnormalities in Heart Failure Patients: Insights and Prognostic Relevance

Heart Fail Clin. 2019 Jul;15(3):333-340. doi: 10.1016/j.hfc.2019.02.002. Epub 2019 Apr 5.

Abstract

Heart failure is a clinical syndrome characterized by left ventricular dysfunction and/or elevated intracardiac pressures, with a prevalence of about 1% to 2% in the general population. In the last decades, many metabolic disorders have been studied as linked with heart failure. Diabetes mellitus and insulin resistance are strictly related to heart failure, with a bidirectional link, where each can influence the other. The aim of this article is to report the role of glucose metabolism abnormalities in the development of heart failure, defining the epidemiology and assessing pathophysiology and prognosis of heart failure related to glucose metabolism disorders.

Keywords: Diabetes mellitus; Glucose metabolism abnormalities; Heart failure; Hyperglycemia; Insulin resistance; Insulin sensitivity.

Publication types

  • Review

MeSH terms

  • Blood Glucose / metabolism*
  • Comorbidity
  • Diabetes Mellitus / blood*
  • Diabetes Mellitus / epidemiology
  • Heart Failure / blood*
  • Heart Failure / epidemiology
  • Heart Failure / physiopathology
  • Hemodynamics / physiology
  • Humans
  • Hyperglycemia / blood*
  • Hyperglycemia / epidemiology
  • Insulin Resistance / physiology*
  • Prognosis

Substances

  • Blood Glucose