מאמרים כחול-לבן
| J. CardioMetab Syndr, 1: 95-101, 2006 |
| Prevalence of Hypertension in Type 2 Diabetes Mellitus: Impact of the tightening definition of high blood pressure and association with confounding risk factors. |
| Kabakov E, Norymberg C, Osher E, Koffler M , Tordjman K, Greenman
Y, Stern N |
| a- Institute of Endocrinology, Metabolism and Hypertension and c- Diabetes Unit, Tel Aviv - Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University; and the b- Netanya Diabetes Clinic of Kupat Holim Clalit, Netanya, Israel |
| JNC-7 has recommended a downward shift in target blood pressure to <130/80
in diabetic patients, thus operatively setting a new threshold level
for the definition of hypertension at 130/80 mmHg. We performed a retrospective chart analysis of 2227 Type II diabetes patients treated in one hospital -based and two community based clinics in central Israel, to determine the prevalence of hypertension as a function of three diagnostic threshold levels. The prevalence of hypertension in this cohort was 60.2%, 76.5 % and 85.8 %, at blood pressure thresholds of 140/90, 130/85 and 130/80 respectively. Hypertension prevalence increased with age, reaching a rate of 94.4% in patients aged 80 yrs or more when the cutoff value of 130/80 was used. At this threshold, 93.3% and 86.6% of patients with BMI over or under 30 kg/m2 were diagnosed with hypertension respectively. As hypertension appears to eventually afflict the vast majority of diabetic patients, the minority of subjects not developing hypertension emerges as a unique group, which potentially deserves further in- depth study. |