Consensus document of the management of type 2 diabetes and heart failure: Consejo Interamericano de Falla Cardíaca e Hipertensión Pulmonar (CIFACAH) and Inter-American Society of Cardiology (IASC)

Alexander Romero, Departamento de Cardiología, Hospital Santo Tomás, Panamá, Panamá
Clara I. Saldarriaga-Giraldo, Servicio de Cardiología, Clínica CardioVID, Universidad de Antioquia. Antioquia, Colombia
Carlos E. Ramos, Departamento de Cardiología, Instituto Nacional Cardiopulmonar, Tegucigalpa, Honduras
Daniel Quesada, Departamento de Cardiología, Hospital San Vicente de Paul, Heredia, Costa Rica
Gerardo Chazzin, Departamento de Cardiología, Centro Docente Prevalet, Valencia, Venezuela
Felipe N. Fernández, Departamento de Cardiología, Hospital Central del Instituto de Previsión Social, Asunción, Paraguay
Freddy Pow-Chon, Departamento de Cardiología, Hospital Luis Vernaza; Departamento de Cardiología, Universidad Espíritu Santo, Guayaquil, Ecuador
Walter Alarco, Departamento de Cardiología, Instituto Nacional Cardiovascular, Lima, Perú
Pablo E. Hurtado, Departamento de Cardiología, Hospital Carlos Roberto Huembes, Managua, Nicaragua
José A. Magaña-Serrano, Jefe de la División de Insuficiencia Cardiaca y Trasplante, Hospital Asociación Mexicana de Insuficiencia Cardiaca, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Ciudad de México, México; Presidente de la Asociación Mexicana de Insuficiencia Cardiaca, Ciudad de México, México
Juan E. Gómez-Mesa, Departamento de Cardiología, Fundación Valle de Lili, Cali, Colombia

Heart failure (HF) syndrome is a global public health issue. On the other hand, type 2 diabetes is a risk factor associated with overweight/obesity and a sedentary lifestyle. This consensus aims to compile information available on the relationship between HF and type 2 diabetes and present, in a summarized and practical way, the management recommendations based on scientific evidence. The document includes the description of the epidemiology of HF and type 2 diabetes; pathophysiology of HF and type 2 diabetes; cardiovascular complications of type 2 diabetes; stages of HF; management of type 2 diabetes in patients with HF; and management of HF in patients with type 2 diabetes. Lastly, in the conclusions section, the growing trend of both events and the need to start preventive activities is presented, as well as the favorable role of antidiabetic drugs in the treatment of patients with HF.

Keywords: Heart failure. Type 2 diabetes. Consensus.