Cited by 609Diabetes, Cardiovascular Risks, and LipoproteinsDiabetes Treatment and ManagementChronic Kidney Disease and Diabetes

Diabetes, cardiovascular disease and the microcirculation

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Strain, W. David, Paldánius, P. M.·2018·Cardiovascular Diabetology

Abstract

Cardiovascular disease (CVD) is the leading cause of mortality in people with type 2 diabetes mellitus (T2DM), yet a significant proportion of the disease burden cannot be accounted for by conventional cardiovascular risk factors. Hypertension occurs in majority of people with T2DM, which is substantially more frequent than would be anticipated based on general population samples. The impact of hypertension is considerably higher in people with diabetes than it is in the general population, suggesting either an increased sensitivity to its effect or a confounding underlying aetiopathogenic mechanism of hypertension associated with CVD within diabetes. In this contribution, we aim to review the changes observed in the vascular tree in people with T2DM compared to the general population, the effects of established anti-diabetes drugs on microvascular outcomes, and explore the hypotheses to account for common causalities of the increased prevalence of CVD and hypertension in people with T2DM.

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  • CVD remains the leading cause of mortality among diabetic patients.

    “CVD, one of the most severe systemic complications of diabetes, remains the leading cause of mortality among diabetic patients [9, 81, 82].”

    From Artificial intelligence-powered prediction of diabetic complications: from clinical data to molecular omics (2026) · cites this paper as [81]

    The Abstract states that CVD is the leading cause of mortality in people with type 2 diabetes. The citing sentence says this of diabetic patients generally, extending the claim beyond the population specified in the source. (LLM, conf=0.85)

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Authors
Strain, W. D., & Paldánius, P. M.
Affiliations
  • University of Exeter (GB)
  • Novartis (Switzerland) (CH)
Corresponding author
Strain, W. David
Venue
Cardiovascular Diabetology
Published
2018-04-18
Volume
17
Issue
1
Pages
57-57
ISSN
1475-2840 (ISSN-L)
OpenAlex
W2800981650
Cited by
609
References
9
Citations by year
2026: 49 · 2025: 83 · 2024: 119 · 2023: 103 · 2022: 92 · 2021: 85 · 2020: 60 · 2019: 15 · 2018: 3
FWCI
6.27
Type
journal article
Language
en
Open access
Locations
  • Cardiovascular Diabetology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
  • Open Research Exeter (University of Exeter) (submittedVersion, cc-by)
  • Royal Devon and Exeter Research Repository (Royal Devon and Exeter) (submittedVersion, cc-by)
Funders
Novartis Pharma AG
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
Keywords
type 2 diabetes, cardiovascular disease, hypertension, microcirculation, vascular changes, antidiabetic drugs, microvascular outcomes, cardiovascular risk factors
MeSH terms
Animals, Cardiovascular System, Diabetes Mellitus, Type 2, Diabetic Angiopathies, Humans, Hypertension, Hypoglycemic Agents, Microcirculation, Risk Factors, Prevalence, Treatment Outcome

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