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COVID-19, Diabetes, and Cardiovascular Disease

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Abstract

The COVID-19 pandemic has become an obstacle to the management of various diseases, and diabetes mellitus (DM) has not been the exception. One of the most important complications of DM is cardiovascular diseases (CVD), which are the most common cause of mortality in patients with DM (Kazeminia et al., J Diabetes Res 2020:3069867, 2020). CVD is the name for the group of disorders of the heart and blood vessels and includes coronary heart disease, stroke, peripheral vascular disease, heart failure, and cardiac arrhythmias. In patients with DM, 60% of deaths from cardiovascular diseases are attributed to classical risk factors such as smoking, hypertension, and dyslipidemia (Regidor et al., Diabetes Care 35:2503–2509, 2012). The most common form of dyslipidemia in patients with diabetes is atherogenic dyslipidemia, a composite of high triglyceride levels, increased LDL, and decreased HDL cholesterol (Lazarte and Hegele, Can J Diabetes 44:53–60, 2020). Patients with DM have smaller and denser LDL particles (phenotype B), which make them more easily glycosylated and susceptible to oxidation resulting in endothelial dysfunction and atherosclerotic plaque formation and increase their risk of CVD. These issues have become even more important in the era of COVID-19 (Del Prete et al., Card Electrophysiol Clin 14:29–39, 2022).

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Peña Duque, M.A., Velasco, A.A., Gómez, J.C.N., Navarro, E.A.I., Torres, E.A.A. (2023). COVID-19, Diabetes, and Cardiovascular Disease. In: Rodriguez-Saldana, J. (eds) The Diabetes Textbook. Springer, Cham. https://doi.org/10.1007/978-3-031-25519-9_48

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  • DOI: https://doi.org/10.1007/978-3-031-25519-9_48

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