Are low target blood pressure goals justified in persons with diabetes mellitus?
| Autor: | Latha Velusamy, Errol D. Crook |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Nephrology
Mean arterial pressure medicine.medical_specialty Systolic hypertension Myocardial Infarction Blood Pressure Fosinopril Internal medicine Diabetes mellitus Diabetes Mellitus Internal Medicine medicine Humans Diabetic Nephropathies In patient Risk factor Intensive care medicine Antihypertensive Agents Randomized Controlled Trials as Topic business.industry medicine.disease Surgery Blood pressure business Diabetic Angiopathies medicine.drug |
| Zdroj: | Current Hypertension Reports. 5:231-238 |
| ISSN: | 1534-3111 1522-6417 |
| DOI: | 10.1007/s11906-003-0026-9 |
| Popis: | Hypertension is common in patients with diabetes and is a major risk factor for development and progression of the macro- and microvascular complications seen in diabetes. The Joint National Committee VI recommendation for goal blood pressure is less than 130/85 mm Hg in diabetics--a more aggressive target than in nondiabetic patients. Data over the past decade support these aggressive goals, especially for cardiovascular and renal outcomes and overall mortality. In addition, in diabetics, blood pressure appears to be a continuous risk factor for these outcomes without evidence of a J-point effect. While these goals are rarely obtained in diabetic patients, studies demonstrate that they are achievable with attention to detail and use of multiple antihypertensive agents. |
| Databáze: | OpenAIRE |
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