0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint |

Management of Comorbid Diabetes Mellitus and Worsening Heart Failure

Sadiya S. Khan, MD1; Javed Butler, MD, MPH2; Mihai Gheorghiade, MD1
[+] Author Affiliations
1Center for Cardiovascular Innovation, Northwestern University Feinberg School of Medicine, Chicago, Illinois
2Division of Cardiology, Emory University, Atlanta, Georgia
JAMA. 2014;311(23):2379-2380. doi:10.1001/jama.2014.4115.
Text Size: A A A
Published online

Extract

Type 2 diabetes mellitus affects 25.8 million adults in the United States and accounts for attributable health care costs exceeding $174 billion.1 Although it is well established that the leading cause of death in patients with diabetes mellitus is related to cardiovascular disease, the importance of heart failure among patients with diabetes has been underappreciated. Among older individuals with diabetes mellitus, approximately 22% have heart failure.2 Conversely, the burden of heart failure constitutes more than 1 million hospital admissions annually in the United States and many more emergency department and unplanned outpatient clinic visits. In large registries of patients with worsening chronic heart failure who are receiving optimal evidence-based therapies and who are hospitalized, the prevalence of diabetes mellitus was 42%, and their postdischarge mortality and rehospitalization rates were 8% and 32%, respectively, within 60 to 90 days.3 Similar rates of diabetes, with prevalences of approximately 40%, were also seen in recent clinical trials of patients hospitalized with worsening heart failure and reduced ejection fraction,4,5 as well as those with preserved ejection fraction.6

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com
brightcove.createExperiences();