Extract

This editorial refers to ‘Diabetes and long-term outcomes of ischaemic stroke: findings from Get With The Guidelines-Stroke’, by J.B. Echouffo-Tcheugui et al., on page 2376.

Diabetes increases the risk for acute cardiovascular events. With increasing population aging, the ‘diabetes and cardiovascular disease (CVD)’ dyad will inevitably become a healthcare emergency worldwide. While much attention has traditionally been devoted to ischaemic heart disease, there is a need to refocus on other (CVD) manifestations.

According to the most recent statistical reports, stroke, taken separately from other CVD, ranks as the fifth most common cause of death.1 Furthermore, stroke is a disaster in terms of disability and for the burden imposed on caregivers and society, especially in aging populations. Yet, there is a relative paucity of high-quality studies evaluating the link between diabetes and stroke.

In this issue of the European Heart Journal, Echouffo-Tcheugui et al. report on long-term outcomes after stroke in diabetic patients from the Get With The Guidelines-Stroke registry, the largest U.S. database on stroke. They found that after an ischaemic stroke, patients with diabetes, as compared to those without, experienced higher risk of death and hospitalization for cardiovascular or non-cardiovascular events, as well as higher rates of readmission for stroke recurrence.2

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