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Cited by 268

The DOI matches its Crossref record; 93 of the 93 references it cites were found in a registry or an index.

Pathophysiology and Treatment of Diabetic Cardiomyopathy and Heart Failure in Patients with Diabetes Mellitus

Open access
Nakamura, Kazufumi, Miyoshi, Toru, Yoshida, Masashi, Akagi, Satoshi, Saito, Yukihiro, Ejiri, Kentaro, Matsuo, Naoaki, Ichikawa, Keishi, Iwasaki, Keiichiro, Naito, Takanori, Namba, Yusuke, Yoshida, Masatoki, Sugiyama, Hiroki, Ito, Hiroshi·2022·International Journal of Molecular Sciences

Abstract

There is a close relationship between diabetes mellitus and heart failure, and diabetes is an independent risk factor for heart failure. Diabetes and heart failure are linked by not only the complication of ischemic heart disease, but also by metabolic disorders such as glucose toxicity and lipotoxicity based on insulin resistance. Cardiac dysfunction in the absence of coronary artery disease, hypertension, and valvular disease is called diabetic cardiomyopathy. Diabetes-induced hyperglycemia and hyperinsulinemia lead to capillary damage, myocardial fibrosis, and myocardial hypertrophy with mitochondrial dysfunction. Lipotoxicity with extensive fat deposits or lipid droplets is observed on cardiomyocytes. Furthermore, increased oxidative stress and inflammation cause cardiac fibrosis and hypertrophy. Treatment with a sodium glucose cotransporter 2 (SGLT2) inhibitor is currently one of the most effective treatments for heart failure associated with diabetes. However, an effective treatment for lipotoxicity of the myocardium has not yet been established, and the establishment of an effective treatment is needed in the future. This review provides an overview of heart failure in diabetic patients for the clinical practice of clinicians.

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Metadata

Authors
Nakamura, K., Miyoshi, T., Yoshida, M., Akagi, S., Saito, Y., Ejiri, K., Matsuo, N., Ichikawa, K., Iwasaki, K., Naito, T., Namba, Y., Yoshida, M., Sugiyama, H., & Ito, H.
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2022-03-25
Volume
23
Issue
7
Pages
3587
ISSN
1422-0067 (ISSN-L)
OpenAlex
W4220968668
Cited by
268
References
93
FWCI
34.21
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Pathophysiology and Treatment of Diabetic Cardiomyopathy and Heart Failure in Patients with Diabetes Mellitus. https://app.cochat.ai/papers/10.3390/ijms23073587
The paper
Nakamura, K., Miyoshi, T., Yoshida, M., Akagi, S., Saito, Y., Ejiri, K., Matsuo, N., Ichikawa, K., Iwasaki, K., Naito, T., Namba, Y., Yoshida, M., Sugiyama, H., & Ito, H. (2022). Pathophysiology and Treatment of Diabetic Cardiomyopathy and Heart Failure in Patients with Diabetes Mellitus. International Journal of Molecular Sciences. https://doi.org/10.3390/ijms23073587

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.