PMID- 18660731 OWN - NLM STAT- MEDLINE DCOM- 20081114 LR - 20151119 IS - 1530-6550 (Print) IS - 1530-6550 (Linking) VI - 9 IP - 2 DP - 2008 Spring TI - Myocardial glucose transport and utilization: a target for therapeutic intervention. PG - 106-10 AB - Patients with type 2 diabetes mellitus (T2DM) have a 2-fold to 4-fold greater risk of cardiovascular mortality than nondiabetic individuals. The overall mortality rate of patients with T2DM is approximately twice that of people without diabetes. The excess in-hospital mortality of these patients is primarily due to an increased risk of congestive heart failure. Reduced compensatory ability of the noninfarcted myocardium and an underlying abnormality in the myocardial substrate metabolism (referable to the diabetic state) may also contribute to poor outcomes. Insulin resistance (IR) is a significant predictor of cardiovascular mortality and morbidity across a spectrum of glucose tolerance. Cardiac mass increases across the range of IR in subjects without diabetes, as well as across the range of glucose intolerance in subjects with diabetes. In one study, elevated fasting plasma glucose was an independent predictor of hospitalization for heart failure. Optimization of cardiac metabolism could become a new target for therapeutic intervention in patients with ischemic heart disease and diabetes. FAU - Singh, Premranjan P AU - Singh PP AD - Harvard Medical School, Boston, MA and Lahey Clinic Medical Center, Burlington, Massachusetts, USA. FAU - Lago, Rodrigo M AU - Lago RM FAU - Nesto, Richard W AU - Nesto RW LA - eng PT - Journal Article PT - Review PL - Singapore TA - Rev Cardiovasc Med JT - Reviews in cardiovascular medicine JID - 100960007 RN - 0 (Biomarkers) RN - 0 (Fatty Acids, Nonesterified) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Biomarkers/metabolism MH - Diabetes Mellitus, Type 2/complications/*metabolism/therapy MH - Energy Metabolism/drug effects MH - Fatty Acids, Nonesterified/therapeutic use MH - Glucose/*metabolism MH - Glucose Intolerance MH - Heart Failure/etiology/*metabolism/mortality/prevention & control MH - Humans MH - Insulin Resistance MH - *Models, Cardiovascular MH - Myocardium/*metabolism MH - Prognosis MH - Survival Analysis RF - 22 EDAT- 2008/07/29 09:00 MHDA- 2008/11/15 09:00 CRDT- 2008/07/29 09:00 PHST- 2008/07/29 09:00 [pubmed] PHST- 2008/11/15 09:00 [medline] PHST- 2008/07/29 09:00 [entrez] PST - ppublish SO - Rev Cardiovasc Med. 2008 Spring;9(2):106-10.