Epicardial adipose tissue: a new link between type 2 diabetes and heart failure-a comprehensive review.

IF 4.2 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Failure Reviews Pub Date : 2025-05-01 Epub Date: 2024-12-27 DOI:10.1007/s10741-024-10478-8
Si-Jia Zhang, Si-Wei Wang, Shi-Yu Liu, Ping Li, De-Lian Huang, Xi-Xi Zeng, Tian Lan, Ye-Ping Ruan, Hai-Jiao Shi, Xin Zhang
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Abstract

Diabetic cardiomyopathy is a unique cardiomyopathy that is common in diabetic patients, and it is also a diabetic complication for which no effective treatment is currently available. Moreover, relevant studies have revealed that a link exists between type 2 diabetes and heart failure and that abnormal thickening of EAT is inextricably linked to the development of diabetic heart failure. Numerous clinical studies have demonstrated that EAT is implicated in the pathophysiologic process of diabetic myocardial disease. In this overview, we will introduce the physiology, pathophysiology of the disease and potential therapeutic strategies, knowledge gaps, and future directions of the role of epicardial adipose tissue in type 2 diabetes mellitus and heart failure to promote the development of novel therapeutic approaches to improve the prognosis of patients with diabetic cardiomyopathy.

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心外膜脂肪组织:2型糖尿病和心力衰竭之间的新联系——一项综合综述。
糖尿病性心肌病是糖尿病患者常见的一种独特的心肌病,也是目前尚无有效治疗方法的糖尿病并发症。此外,相关研究表明,2型糖尿病与心力衰竭之间存在联系,EAT异常增厚与糖尿病性心力衰竭的发生有着千丝万缕的联系。大量临床研究表明,EAT参与糖尿病心肌疾病的病理生理过程。在这篇综述中,我们将介绍该疾病的生理学、病理生理学和潜在的治疗策略、知识空白以及心外膜脂肪组织在2型糖尿病和心力衰竭中的作用的未来方向,以促进新的治疗方法的发展,改善糖尿病心肌病患者的预后。
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来源期刊
Heart Failure Reviews
Heart Failure Reviews 医学-心血管系统
CiteScore
10.40
自引率
2.20%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Heart Failure Reviews is an international journal which develops links between basic scientists and clinical investigators, creating a unique, interdisciplinary dialogue focused on heart failure, its pathogenesis and treatment. The journal accordingly publishes papers in both basic and clinical research fields. Topics covered include clinical and surgical approaches to therapy, basic pharmacology, biochemistry, molecular biology, pathology, and electrophysiology. The reviews are comprehensive, expanding the reader''s knowledge base and awareness of current research and new findings in this rapidly growing field of cardiovascular medicine. All reviews are thoroughly peer-reviewed before publication.
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