Diabetic cardiomyopathy and anesthesia: bench to bedside.

摘要

DIABETES mellitus is a growing public health concern, affecting 170 million individuals worldwide. The incidence of diabetes is increasing, not only in the aging population but also in young adults and children, in large measure as a result of escalating rates of obesity and adoption of a sedentary lifestyle. The World Health Organization estimates that the incidence of diabetes will increase to 300 million affected individuals by 2025, representing 5 4% of the world's population } Cardiovascular disease is the leading cause of death in diabetes, and the presence of diabetes increases the risk of peri-operative morbidity and mortality by twofold to threefold.1'2 Diabetes predisposes to the development of atherosclerotic heart disease and to the development of a specific cardiomyopathy that contributes to increasing cardiovascular risk.23 The aim of this article is to review the characteristics of diabetic cardiomyopathy and its consequences on anesthetic management