It is important to embrace the fact that diabetes and cardiovascular disease are intimately linked.1 Indeed, it is not inappropriate to describe diabetes as a “vascular perturbation.” Specifically, endothelial dysfunction with vasomotor instability and atherosclerosis is a hallmark of diabetes mellitus. Only recently has the overlap between diabetes and cardiology been emphasized, with epidemiologic studies identifying the increased risk of cardiovascular morbidity with underlying diabetes mellitus. This is unfortunate since there is an epidemic of diabetes and obesity in North America and the rest of the world (thus, a pandemic) that has prompted concern about a sudden rise of cardiovascular deaths in the United States after a decline of about 40% in the last decade.2 Particularly problematic is the relationship of the metabolic syndrome and diabetes to obesity and myocardial dysfunction leading to heart failure, which is known to have extraordinarily high morbidity itself. Is then diabetes, obesity, and heart failure the new cardiovascular pandemic that should demand more attention with the creation of a new field of “cardiologic diabetology” or “diabetic cardiology”?

" /> It is important to embrace the fact that diabetes and cardiovascular disease are intimately linked.1 Indeed, it is not inappropriate to describe diabetes as a “vascular perturbation.” Specifically, endothelial dysfunction with vasomotor instability and atherosclerosis is a hallmark of diabetes mellitus. Only recently has the overlap between diabetes and cardiology been emphasized, with epidemiologic studies identifying the increased risk of cardiovascular morbidity with underlying diabetes mellitus. This is unfortunate since there is an epidemic of diabetes and obesity in North America and the rest of the world (thus, a pandemic) that has prompted concern about a sudden rise of cardiovascular deaths in the United States after a decline of about 40% in the last decade.2 Particularly problematic is the relationship of the metabolic syndrome and diabetes to obesity and myocardial dysfunction leading to heart failure, which is known to have extraordinarily high morbidity itself. Is then diabetes, obesity, and heart failure the new cardiovascular pandemic that should demand more attention with the creation of a new field of “cardiologic diabetology” or “diabetic cardiology”?

"> Article Abstract – Methodist Journal
Methodist Journal

IN THIS ISSUE

Nutritional Supplements and the Heart

Vol 15, Issue 3 (2019)


FEATURED GUEST EDITOR

ISSUE INTRO

Dietary Supplements: Facts and Fallacies

See More
RECOGNITIONS

Drs. Raizner and Cooke Take the Lead in Special Issue on Supplements

See More

REVIEW ARTICLES See More

Recent Clinical Trials Shed New Light on the Cardiovascular Benefits of Omega-3 Fatty Acids

Supplemental Vitamins and Minerals for Cardiovascular Disease Prevention and Treatment

Coenzyme Q10

Red Yeast Rice for Hypercholesterolemia

Inorganic Nitrate Supplementation for Cardiovascular Health

Vitamin D and Calcium Supplements: Helpful, Harmful, or Neutral for Cardiovascular Risk?

Cardiovascular Risk of Proton Pump Inhibitors

Advanced Cardiac Imaging for Complex Adult Congenital Heart Diseases

CASE REPORTS See More

A Rare Case of Pancreatitis-Induced Thrombosis of the Aorta and Superior Mesenteric Artery

Anomalous Origin of the Right Coronary Artery from the Left Main Coronary Artery in the Setting of Critical Bicuspid Aortic Valve Stenosis

Simultaneous Transfemoral Mitral and Tricuspid Valve in Ring Implantation: First Case Report with Edwards Sapien 3 Valve

Uneventful Follow-Up 2 Years after Endovascular Treatment of a High Flow Iatrogenic Aortocaval Fistula Causing Pulmonary Hypertension and Right Heart Failure

MUSEUM OF HMH MULTIMODALITY IMAGING CENTER See More

Snoopy’s Heart: A Case of Complete Congenital Absence of the Pericardium

CLINICAL PERSPECTIVES See More

POINTS TO REMEMBER

Herbal Nephropathy

EXCERPTA

Rolling the Dice on Red Yeast Rice

POINTS TO REMEMBER

The Kidney in Congenital Cyanotic Heart Disease

EXCERPTA

Talking Statins with Antonio Gotto

EDITORIALS

Letter to the Editor in Response to “Cardiac Autonomic Neuropathy in Diabetes Mellitus”

Vol 6, Issue 2 (2010)

Article Abstract

Diabetes, Obesity, And Heart Failure: The New Pandemic


Article Citation:

James B. Young (2010) Diabetes, Obesity, And Heart Failure: The New Pandemic. Methodist DeBakey Cardiovascular Journal: April 2010, Vol. 6, No. 2, pp. 20-26.

doi: https://doi.org/10.14797/mdcj-6-2-20

Abstract

It is important to embrace the fact that diabetes and cardiovascular disease are intimately linked.1 Indeed, it is not inappropriate to describe diabetes as a “vascular perturbation.” Specifically, endothelial dysfunction with vasomotor instability and atherosclerosis is a hallmark of diabetes mellitus. Only recently has the overlap between diabetes and cardiology been emphasized, with epidemiologic studies identifying the increased risk of cardiovascular morbidity with underlying diabetes mellitus. This is unfortunate since there is an epidemic of diabetes and obesity in North America and the rest of the world (thus, a pandemic) that has prompted concern about a sudden rise of cardiovascular deaths in the United States after a decline of about 40% in the last decade.2 Particularly problematic is the relationship of the metabolic syndrome and diabetes to obesity and myocardial dysfunction leading to heart failure, which is known to have extraordinarily high morbidity itself. Is then diabetes, obesity, and heart failure the new cardiovascular pandemic that should demand more attention with the creation of a new field of “cardiologic diabetology” or “diabetic cardiology”?

Keywords
lifestyle , obesity , diabetes , cardiovascular disease , CVD , heart failure