Managing T2DM with GLP-1 RAs for Heart Failure

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Questions and Answers

What is the recommended anticoagulation therapy for patients with T2DM and LVEF >40% (HFmrEF)?

Anticoagulation therapy is not recommended due to the bleeding risk outweighing the thrombotic risk
Prolonged triple therapy with low-dose ASA, clopidogrel, and an OAC for up to 3 months (correct)
No anticoagulation therapy is recommended
Esomeprazole for gastric protection

What is the recommended diagnostic work-up for patients with diabetes and aortic aneurysm?

A more extensive diagnostic work-up compared to patients without diabetes
No specific diagnostic work-up is recommended for these patients
Diagnostic work-up should focus only on the aortic aneurysm and not consider the patient's diabetes
The same diagnostic work-up as in patients without diabetes (correct)

What is the recommended glucose-lowering medication for patients with T2DM?

No specific recommendations are made for glucose-lowering medications in patients with T2DM
Metformin should be the first-line medication regardless of cardiovascular benefit
Insulin should be the preferred glucose-lowering medication for all patients with T2DM
Medications with proven cardiovascular benefit should be used (correct)

What is the recommended screening for atrial fibrillation in patients with diabetes?

Opportunistic screening for atrial fibrillation by pulse taking or ECG is recommended in patients with diabetes aged 60 years or older (B) Signup and view all the answers

What is the recommended use of low-dose aspirin (ASA) in patients with diabetes and chronic kidney disease (CKD)?

Low-dose ASA (75-100 mg o.d.) is recommended in patients with CKD and ASCVD (B) Signup and view all the answers

Which of the following is the recommended target for urinary albumin-to-creatinine ratio (UACR) in patients with T1DM to reduce cardiovascular events and kidney failure?

UACR 3 mg/mmol (30 mg/g) (B) Signup and view all the answers

What is the recommended diagnostic work-up for patients with suspected heart failure?

Diagnostic tests are recommended in all patients with suspected heart failure (C) Signup and view all the answers

What is the recommended glucose-lowering therapy for patients with T1DM and cardiovascular disease?

Insulin therapy should be the mainstay of treatment for these patients (C) Signup and view all the answers

What is the recommended approach to management of patients with T2DM and heart failure with mildly reduced ejection fraction (HFmrEF)?

Prolonged triple therapy with low-dose ASA, clopidogrel, and an OAC for up to 3 months may be considered if the thrombotic risk outweighs the bleeding risk (B) Signup and view all the answers