Hypertension in Diet Versus Pharmacologically Treated Diabetics

Autor: Solomon Behar, Enrique Z. Fisman, Alexander Tenenbaum, Joseph Shemesh, Michael Motro, Avraham Shotan, Valentina Boyko, Uri Goldbourt, Eran Graff, Henrietta Reicher-Reiss
Rok vydání: 1999
Předmět:
Zdroj: Hypertension. 33:1002-1007
ISSN: 1524-4563
0194-911X
DOI: 10.1161/01.hyp.33.4.1002
Popis: Abstract —The natural history of non–insulin-dependent diabetes mellitus (NIDDM) differs markedly between patients with diet treated and pharmacologically treated disease. However, the interrelationship between hypertension and these common diabetes types has not been specifically addressed in previous studies. This study was designed to evaluate the prognostic significance and prevalence of hypertension in coronary patients with diet versus pharmacologically treated NIDDM over a 5-year follow-up period. The study sample comprised 11 515 patients aged 45 to 74 years with a previous myocardial infarction and/or anginal syndrome who had been screened but were not included in the Bezafibrate Infarction Prevention study. Among them, 9033 were nondiabetics and 2482, diabetics (987 diet treated and 1495 pharmacologically treated). The prevalence of hypertension among nondiabetics, diet-treated diabetics, and pharmacologically treated diabetics was 31%, 42%, and 43%, respectively. Crude all-cause mortality (CM) was lower in the nondiabetic patients (11.2% versus 22.0%; P
Databáze: OpenAIRE