Diabetic Myocardial Disorder. A Clinical Consensus Statement of the Heart Failure Association of the ESC and the ESC Working Group on Myocardial & Pericardial Diseases

New definition: diabetic myocardial disorder is systolic and/or diastolic myocardial dysfunction in the presence of diabetes

Diabetes is rarely exclusively responsible for myocardial dysfunction; it usually acts with obesity, arterial hypertension, CKD and/or CAD, causing additive myocardial impairment

Patients with T2DM and asymptomatic structural/functional cardiac abnormalities could be considered as having pre-HF