Abstract
With the rapidly increasing prevalence of type 2 diabetes mellitus the risk for cardiovascular events is increasing. Almost 2 of 3 patients who present with symptomatic CHD have abnormal glucose homeostasis. Patients with diabetes mellitus and cardiovascular disease have an unfavourable prognosis. The most important result of diabetes metabolism is the switch from carbohydrates and fatty acids as a source of energy to an excessive use of fatty acids. The adverse influence of diabetes mellitus extends to all components of the cardiovascular system, including microvasculature, the epicardial coronary arteries, the large conduit arteries and the heart, as well as the kidneys. Focus of this review is the myocardial metabolism in heart failure and diabetes mellitus.
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