Sweet Heart - Contributions of Metabolism in the Development of Heart Failure in Diabetes Mellitus

With the rapidly increasing prevalence of type 2 diabetes mellitus the risk for cardiovascular events is increasing. Almost 2 of 3 patients who present with symptomatic CHD have abnormal glucose homeostasis. Patients with diabetes mellitus and cardiovascular disease hive all unfavourable prognosis. The most important result of diabetes metabolism is the switch from carbohydrates and fatty acids as a Source of energy to ail excessive use of fatty acids. The adverse influence of diabetes mellitus extends to all components of the cardiovascular system, including microvasculature, the epicardial coronary arteries, the large conduit arteries and the heart, as well as the kidneys. Focus Of this review is the myocardial metabolism in heart failure and diabetes mellitus.