Diabetes Mellitus and Its Implications in Aortic Stenosis Patients
Authors:
Open Access
- 9 June 2021
- journal article
- review article
- Published by MDPI AG in International Journal of Molecular Sciences
- Vol. 22 (12) , 6212
Abstract
Aortic stenosis (AS) and diabetes mellitus (DM) are both progressive diseases that if left untreated, result in significant morbidity and mortality. Several studies revealed that the prevalence of DM is substantially higher in patients with AS and, thus, the progression from mild to severe AS is greater in those patients with DM. DM and common comorbidities associated with both diseases, DM and AS, increase patient management complexity and make aortic valve replacement the only effective treatment. For that reason, a better understanding of the pathogenesis underlying both these diseases and the relationships between them is necessary to design more appropriate preventive and therapeutic approaches. In this review, we provided an overview of the main aspects of the relationship between AS and DM, including common comorbidities and risk factors. We also discuss the established treatments/therapies in patients with AS and DM.Keywords
Funding Information
- Instituto de Salud Carlos III (PI18/00995; FI19/00157; Grant PRB3 (IPT17/0019 - ISCIII-SGEFI / ERDF))
This publication has 121 references indexed in Scilit:
- Insulin Resistance and LVH Progression in Patients With Calcific Aortic StenosisJACC: Cardiovascular Imaging, 2013
- Arterial Retention of Remnant Lipoproteins Ex Vivo Is Increased in Insulin Resistance Because of Increased Arterial Biglycan and Production of Cholesterol‐Rich Atherogenic Particles That Can Be Improved by Ezetimibe in the JCR:LA‐ cp RatJournal of the American Heart Association, 2012
- Does Diabetes Accelerate the Progression of Aortic Stenosis through Enhanced Inflammatory Response within Aortic valves?Inflammation, 2011
- Diabetes Mellitus Worsens Diastolic Left Ventricular Dysfunction in Aortic Stenosis Through Altered Myocardial Structure and Cardiomyocyte StiffnessCirculation, 2011
- Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studiesThe Lancet, 2010
- Reduced Sox9 Function Promotes Heart Valve Calcification Phenotypes In VivoCirculation Research, 2010
- Association between degenerative aortic valve disease and long-term exposure to cardiovascular risk factors: results of the longitudinal population-based KORA/MONICA surveyEuropean Heart Journal, 2009
- Relationship of Metabolic Syndrome With Incident Aortic Valve Calcium and Aortic Valve Calcium ProgressionDiabetes, 2009
- Obesidad, síndrome metabólico y diabetes: implicaciones cardiovasculares y actuación terapéuticaRevista Espanola de Cardiologia, 2008
- Mechanisms by which diabetes increases cardiovascular diseaseDrug Discovery Today: Disease Mechanisms, 2007