Hypertension:高血压伴2型糖尿病患者的总体/心血管风险如何?

2017-04-11 xing.T MedSci原创

由此可见,整体的预防应包括减少酒精和烟草消耗量、改善压力、教育水平和身体活动。

尽管血糖和血压已得到了良好的控制,治疗的2型糖尿病高血压患者总体/血管风险显著升高。近日,血管权威杂志Hypertension上发表了一篇研究文章,研究人员分析了在1992年至2011年期间参加医疗检查的244816名正常血压参与者和99720名高血压患者(包括7480例2型糖尿病患者),研究人员试图明确高血压糖尿病患者和非糖尿病患者之间在总体/心血管风险上的显著差异。

研究人员平均随访了12.7年,报告了14050例全因死亡患者。从正常血压到高血压人群,总体/心血管风险显著增加。糖尿病高血压患者的死亡率显著高于非糖尿病高血压患者(全因死亡率为14.05% vs. 7.43%;心血管死亡率为1.28% vs. 0.7%)。血流动力学指标和总体/心血管风险之间没有相互作用,表明血压因素,即使在药物治疗期间,也不能解释的糖尿病和非糖尿病的高血压患者死亡率之间的差异。

研究人员采用横截面回归模型发现参与者较高的教育水平、低水平的焦虑和抑郁与和糖尿病高血压患者的总体死亡率降低之间存在显著的相关性,而肾功能受损、卒中心肌梗死病史以及增加的酒精和烟草消耗量与增加的死亡率显著相关。单独的血压和血糖控制不能逆转糖尿病高血压患者的总体/心血管风险。

由此可见,整体的预防应包括减少酒精和烟草消耗量、改善压力、教育水平和身体活动。

原始出处:

Michel E. Safar, et al. Longitudinal Study of Hypertensive Subjects With Type 2 Diabetes Mellitus.Hypertension. 2017. https://doi.org/10.1161/HYPERTENSIONAHA.116.08962

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    2017-08-29 feather89
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    2017-06-09 nekki86

    原来当初老师苦口婆心劝我读博士是有道理的!

    0

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    2017-04-13 wei834766788

    学习!!!!

    0

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    2017-04-11 smartxiuxiu

    较高的教育水平会有较低的焦虑状态么

    0

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    2017-04-11 ylzr123

    反复实践,反复学习,认真推敲,不断提高自己的业务水平。

    0

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【多吃富含钾的食物可以降低血压】南加州大学凯斯医学院的研究人员发现,饮食中提高钾的摄入量可以有效的降血压。该研究发表在《美国生理内分泌和新陈代谢》杂志中,研究探索了饮食中钠,钾,血压和钠钾比值之间的关系。研究人员表示:“大家都知道,在饮食中,减少钠的摄入量是一个有效的降血压方法。但是此次研究还证明,提高钾的摄入量具有同样的效果。”富含钾的食物,包括香蕉、红薯、鳄梨、菠菜和豆类。在此次研究中,研究人

JAMA:全球高血压风险:1990-2015

1990-2015年间,收缩压升高导致患者死亡和致残风险上升

Heart:腰围增加和高血压的关系!

由此可见,腹部肥胖在中国很流行。在中国农村人群中,随着腰围的增加,高血压的风险显著增加。

Medicine:心电图非特异ST-T改变或可预测血压控制不佳

中国卒中一级预防试验(CSPPT)的一项最新分析表明,我国约8.5%的高血压患者心电图出现非特异性的ST-T改变,非特异性ST-T改变可能与血压控制不佳有关,在男性患者和糖尿病患者中比较明显。