Consensus Recommendations by the Asian Pacific Society of Cardiology: Optimising Cardiovascular Outcomes in Patients with Type 2 Diabetes

The Asian Pacific Society of Cardiology convened a consensus statement panel for optimising cardiovascular (CV) outcomes in type 2 diabetes, and reviewed the current literature. Relevant articles were appraised using the Grading of Recommendations, Assessment, Development and Evaluation system, and...

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Main Authors: Jack Wei Chieh Tan, David Sim, Junya Ako, Wael Almahmeed, Mark E Cooper, Jamshed J Dalal, Chaicharn Deerochanawong, David Wei Chun Huang, Sofian Johar, Upendra Kaul, Sin Gon Kim, Natalie Koh, Alice Pik-Shan Kong, Rungroj Krittayaphong, Bernard Kwok, Bien J Matawaran, Quang Ngoc Nguyen, Loke Meng Ong, Jin Joo Park, Yongde Peng, David KL Quek, Ketut Suastika, Norlela Sukor, Boon Wee Teo, Chee Kiang Teoh, Jian Zhang, Eugenio B Reyes, Su Yen Goh
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-04-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2020.52
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author Jack Wei Chieh Tan
David Sim
Junya Ako
Wael Almahmeed
Mark E Cooper
Jamshed J Dalal
Chaicharn Deerochanawong
David Wei Chun Huang
Sofian Johar
Upendra Kaul
Sin Gon Kim
Natalie Koh
Alice Pik-Shan Kong
Rungroj Krittayaphong
Bernard Kwok
Bien J Matawaran
Quang Ngoc Nguyen
Loke Meng Ong
Jin Joo Park
Yongde Peng
David KL Quek
Ketut Suastika
Norlela Sukor
Boon Wee Teo
Chee Kiang Teoh
Jian Zhang
Eugenio B Reyes
Su Yen Goh
author_facet Jack Wei Chieh Tan
David Sim
Junya Ako
Wael Almahmeed
Mark E Cooper
Jamshed J Dalal
Chaicharn Deerochanawong
David Wei Chun Huang
Sofian Johar
Upendra Kaul
Sin Gon Kim
Natalie Koh
Alice Pik-Shan Kong
Rungroj Krittayaphong
Bernard Kwok
Bien J Matawaran
Quang Ngoc Nguyen
Loke Meng Ong
Jin Joo Park
Yongde Peng
David KL Quek
Ketut Suastika
Norlela Sukor
Boon Wee Teo
Chee Kiang Teoh
Jian Zhang
Eugenio B Reyes
Su Yen Goh
author_sort Jack Wei Chieh Tan
collection DOAJ
description The Asian Pacific Society of Cardiology convened a consensus statement panel for optimising cardiovascular (CV) outcomes in type 2 diabetes, and reviewed the current literature. Relevant articles were appraised using the Grading of Recommendations, Assessment, Development and Evaluation system, and consensus statements were developed in two meetings and were confirmed through online voting. The consensus statements indicated that lifestyle interventions must be emphasised for patients with prediabetes, and optimal glucose control should be encouraged when possible. Sodium–glucose cotransporter 2 inhibitors (SGLT2i) are recommended for patients with chronic kidney disease with adequate renal function, and for patients with heart failure with reduced ejection fraction. In addition to SGLT2i, glucagon-like peptide-1 receptor agonists are recommended for patients at high risk of CV events. A blood pressure target below 140/90 mmHg is generally recommended for patients with type 2 diabetes. Antiplatelet therapy is recommended for secondary prevention in patients with atherosclerotic CV disease.
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publisher Radcliffe Medical Media
record_format Article
series European Cardiology Review
spelling doaj-art-130d3392c78e4cfd8984f9006ed849632024-12-14T16:02:39ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642021-04-011610.15420/ecr.2020.52Consensus Recommendations by the Asian Pacific Society of Cardiology: Optimising Cardiovascular Outcomes in Patients with Type 2 DiabetesJack Wei Chieh Tan0David Sim1Junya Ako2Wael Almahmeed3Mark E Cooper4Jamshed J Dalal5Chaicharn Deerochanawong6David Wei Chun Huang7Sofian Johar8Upendra Kaul9Sin Gon Kim10Natalie Koh11Alice Pik-Shan Kong12Rungroj Krittayaphong13Bernard Kwok14Bien J Matawaran15Quang Ngoc Nguyen16Loke Meng Ong17Jin Joo Park18Yongde Peng19David KL Quek20Ketut Suastika21Norlela Sukor22Boon Wee Teo23Chee Kiang Teoh24Jian Zhang25Eugenio B Reyes26Su Yen Goh27National Heart Centre, Singapore; Sengkang General Hospital, SingaporeSengkang General Hospital, SingaporeKitasato University and Hospital, Tokyo, JapanCleveland Clinic Abu Dhabi, United Arab EmiratesMonash University, Melbourne, AustraliaCardiac Sciences, Kokilaben Hospital, Mumbai, IndiaRajavithi Hospital, Rangsit Medical School, ThailandDepartment of Critical Care Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Physical Therapy, Fooyin University, Kaohsiung, TaiwanRipas Hospital, BruneiBatra Hospital and Medical Research Centre, New Delhi, IndiaKorea University College of Medicine, Seoul, South KoreaNational Heart Centre, SingaporeThe Chinese University of Hong Kong, Hong Kong, ChinaSiriraj Hospital, Mahidol University, Bangkok, ThailandFarrer Park Medical Centre, SingaporeUniversity of Santo Tomas, Manila, the PhilippinesDepartment of Cardiology, Vietnam National Heart Institute, Hanoi Medical University, Hanoi, VietnamPenang General Hospital, Penang, MalaysiaSeoul National University Bundang Hospital, Seongnam, South KoreaShanghai Jiatong University, Shanghai, ChinaPantai Hospital Kuala Lumpur, Kuala Lumpur, MalaysiaUdayana University, Bali, IndonesiaDepartment of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MalaysiaYong Loo Ling School of Medicine, National University of Singapore, SingaporeInstitut Jantung Negara, Kuala Lumpur, MalaysiaPeking Union Medical College, Beijing, ChinaDivision of Cardiovascular Medicine, University of the Philippines, Philippine General Hospital, University of the Philippines Manila, Manila, the PhilippinesSingapore General Hospital, SingaporeThe Asian Pacific Society of Cardiology convened a consensus statement panel for optimising cardiovascular (CV) outcomes in type 2 diabetes, and reviewed the current literature. Relevant articles were appraised using the Grading of Recommendations, Assessment, Development and Evaluation system, and consensus statements were developed in two meetings and were confirmed through online voting. The consensus statements indicated that lifestyle interventions must be emphasised for patients with prediabetes, and optimal glucose control should be encouraged when possible. Sodium–glucose cotransporter 2 inhibitors (SGLT2i) are recommended for patients with chronic kidney disease with adequate renal function, and for patients with heart failure with reduced ejection fraction. In addition to SGLT2i, glucagon-like peptide-1 receptor agonists are recommended for patients at high risk of CV events. A blood pressure target below 140/90 mmHg is generally recommended for patients with type 2 diabetes. Antiplatelet therapy is recommended for secondary prevention in patients with atherosclerotic CV disease.https://www.ecrjournal.com/articleindex/ecr.2020.52
spellingShingle Jack Wei Chieh Tan
David Sim
Junya Ako
Wael Almahmeed
Mark E Cooper
Jamshed J Dalal
Chaicharn Deerochanawong
David Wei Chun Huang
Sofian Johar
Upendra Kaul
Sin Gon Kim
Natalie Koh
Alice Pik-Shan Kong
Rungroj Krittayaphong
Bernard Kwok
Bien J Matawaran
Quang Ngoc Nguyen
Loke Meng Ong
Jin Joo Park
Yongde Peng
David KL Quek
Ketut Suastika
Norlela Sukor
Boon Wee Teo
Chee Kiang Teoh
Jian Zhang
Eugenio B Reyes
Su Yen Goh
Consensus Recommendations by the Asian Pacific Society of Cardiology: Optimising Cardiovascular Outcomes in Patients with Type 2 Diabetes
European Cardiology Review
title Consensus Recommendations by the Asian Pacific Society of Cardiology: Optimising Cardiovascular Outcomes in Patients with Type 2 Diabetes
title_full Consensus Recommendations by the Asian Pacific Society of Cardiology: Optimising Cardiovascular Outcomes in Patients with Type 2 Diabetes
title_fullStr Consensus Recommendations by the Asian Pacific Society of Cardiology: Optimising Cardiovascular Outcomes in Patients with Type 2 Diabetes
title_full_unstemmed Consensus Recommendations by the Asian Pacific Society of Cardiology: Optimising Cardiovascular Outcomes in Patients with Type 2 Diabetes
title_short Consensus Recommendations by the Asian Pacific Society of Cardiology: Optimising Cardiovascular Outcomes in Patients with Type 2 Diabetes
title_sort consensus recommendations by the asian pacific society of cardiology optimising cardiovascular outcomes in patients with type 2 diabetes
url https://www.ecrjournal.com/articleindex/ecr.2020.52
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