2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes

ESC Clinical Practice Guidelines

15 Nov 2023

The current Guidelines on cardiovascular disease and diabetes are designed to guide prevention and management of the manifestations of CVD in patients with diabetes. In contrast to the previous 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases — only focus on CVD and diabetes and - given the lack of clear evidence - leave aside the aspect of pre-diabetes. This version of the Guidelines gives recommendations on CV risk stratification as well as on screening, diagnosis, and treatment of CVD in patients with diabetes. Based on evidence from large CVOTs, the current Guidelines provide clear recommendations on how to reduce cardiovascular risk in patients with diabetes and how to treat patients with diabetes and clinical manifestations of cardio-renal disease such as atherosclerotic cardiovascular disease, heart failure, atrial fibrillation, and chronic kidney disease. Special considerations have been given to a multifactorial, interdisciplinary approach, which should involve healthcare providers from different disciplines and areas of expertise to support shared decision-making and implement a personalised treatment strategy.

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Topic(s):

Diabetes and the Heart

Coronary Artery Disease (Chronic)

Diseases of the Aorta

Diagnostic Methods

Peripheral Vascular and Cerebrovascular Disease

Stroke Prevention

Chronic Heart Failure

Epidemiology, Prognosis, Outcome

Treatment

Diagnostic Methods

Endorsed by cardiac societies

Austrian Society of Cardiology , Armenian Cardiologists Association , Azerbaijan Society of Cardiology , Belgian Society of Cardiology , Association of Cardiologists of Bosnia & Herzegovina , British Cardiovascular Society , Bulgarian Society of Cardiology , Croatian Cardiac Society , Danish Society of Cardiology , Egyptian Society of Cardiology , Czech Society of Cardiology , Association of Cardiologists of Uzbekistan , Estonian Society of Cardiology , Finnish Cardiac Society , French Society of Cardiology , Georgian Society of Cardiology , German Cardiac Society , Hellenic Society of Cardiology , Hungarian Society of Cardiology , Irish Cardiac Society , Israel Heart Society , Italian Federation of Cardiology , Kosovo Society of Cardiology , Kyrgyz Society of Cardiology , Lithuanian Society of Cardiology , Luxembourg Society of Cardiology , Maltese Cardiac Society , Moroccan Society of Cardiology , National Society of Cardiology of North Macedonia , Norwegian Society of Cardiology , Polish Cardiac Society , Portuguese Society of Cardiology , Romanian Society of Cardiology , San Marino Society of Cardiology , Cardiology Society of Serbia , Slovak Society of Cardiology , Spanish Society of Cardiology , Swiss Society of Cardiology , Turkish Society of Cardiology , Ukrainian Association of Cardiology