TY  - JOUR
AB  - Heat events are increasing in frequency, duration and intensity as global temperatures continue to rise. High temperatures are associated with an increased risk of cardiovascular events, particularly in individuals with pre-existing cardiovascular diseases. The distinct pathophysiological mechanisms underlying the association between heat exposure and cardiovascular events are the subject of ongoing investigations and, according to the current understanding, include increased activation of the sympatho-adrenergic and hypothalamic-pituitary-adrenal axes, increased cardiac load with subsequent mismatch between cardiac oxygen supply and oxygen consumption as well as inflammatory and thrombotic stimuli. It is important that cardiologists take an active role in health-related heat protection. Raising awareness of cardiologists for the cardiovascular consequences of heat exposure, including through education and training, helps to recognize heat-specific risk situations, to counsel patients accordingly and to optimize clinical care paths. The development and implementation of comprehensive heat-health action plans offers potential to prevent heat-related health risks and deaths. The aim of this review article is therefore to elucidate the association between heat and cardiovascular diseases from a pathophysiological, epidemiological, and public health perspective. The overarching aim is (i) to raise awareness of the risks of heat for cardiovascular health, (ii) to demonstrate the importance of practical concepts for measures to adapt to climate change for health protection, in particular for the vulnerable subgroup of the population with pre-existing cardiovascular diseases and (iii) to provide a perspective on the possibilities to mitigate the cardiovascular sequelae of heat.
AU  - Lechner, K.*
AU  - Breitner-Busch, S.
AU  - Matthies-Wiesler, E.F.
AU  - Schneider, A.E.
C1  - 70006
C2  - 55358
CY  - Tiergartenstrasse 17, D-69121 Heidelberg, Germany
SP  - 120–126
TI  - Hitze und kardiovaskuläres Risiko. Eine Perspektive über Mechanismen und Präventionsmöglichkeiten.
JO  - Kardiologie
VL  - 18
IS  - 2
PB  - Springer Heidelberg
PY  - 2024
SN  - 1864-9726
ER  - 

TY  - JOUR
AB  - Diabetes is a very important and preventable risk factor for the development of heart failure and a frequent comorbidity observed in patients with heart failure with increased cardiovascular morbidity and mortality. Therefore, it is of clinical importance to treat both diseases as early as possible with an optimal therapy. This joint position paper of the German Cardiac Society (DGK) and German Diabetes Society (DDG) outlines the scientific evidence and provides recommendations about diagnostics and treatment of heart failure and diabetes in order to improve the outcome.
AU  - Schütt, K.*
AU  - Aberle, J.*
AU  - Bauersachs, J.*
AU  - Birkenfeld, A.L.
AU  - Frantz, S.*
AU  - Ganz, M.*
AU  - Jacob, S.*
AU  - Kellerer, M.*
AU  - Leschke, M.*
AU  - Liebetrau, C.*
AU  - Marx, N.*
AU  - Müller-Wieland, D.*
AU  - Raake, P.*
AU  - Schulze, P.C.*
AU  - Tschöpe, D.*
AU  - von Haehling, S.*
AU  - Zelniker, T.A.*
AU  - Forst, T.*
C1  - 68601
C2  - 53715
SP  - 358-371
TI  - Positionspapier Herzinsuffizienz und Diabetes.
JO  - Kardiologie
VL  - 16
IS  - 5
PY  - 2022
SN  - 1864-9726
ER  -