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Consensus recommendations by the asian pacific society of cardiology: Optimising cardiovascular outcomes in patients with type 2 diabetes

  • 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 K.L. Quek, Ketut Suastika, Norlela Sukor, Boon Wee Teo, Chee Kiang Teoh, Jian Zhang, Eugenio B. Reyes, Su Yen Goh
  • National Heart Centre Singapore
  • Singapore Health Services
  • Kitasato University
  • Monash University
  • Kokilaben Dhirubhai Ambani Hospital and Research Institute
  • Rajavithi Hospital
  • Veterans General Hospital-Kaohsiung Taiwan
  • National Yang Ming Chiao Tung University
  • Fooyin University Taiwan
  • Raja Isteri Pengiran Anak Saleha Hospital
  • Batra Hospital and Medical Research Centre
  • Korea University
  • Chinese University of Hong Kong
  • Mahidol University
  • Farrer Park Medical Centre
  • University of Santo Tomas
  • Hanoi Medical University
  • Hospital Pulau Pinang
  • Seoul National University
  • Shanghai Jiao Tong University
  • Pantai Hospital Kuala Lumpur
  • Universitas Udayana
  • Universiti Kebangsaan Malaysia
  • National University of Singapore
  • National Heart Institute
  • Chinese Academy of Medical Sciences
  • University of the Philippines
  • Singapore General Hospital

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

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.

Original languageEnglish
Article numbere14
JournalEuropean Cardiology Review
Volume16
DOIs
StatePublished - 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Asia Pacific
  • Cardiovascular
  • Consensus
  • Glucagon-like protein 1 receptor agonist
  • Prediabetes
  • Sodium-glucose cotransporter 2 inhibitor
  • Type 2 diabetes

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