Blood pressure targets for hypertension in patients with diabetes mellitus

Arguedas, José Agustín; Leiva, Viriam; Wright, James M

doi:10.1002/14651858.cd008277

Cited by 4 publications

(2 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As discussed in the ACC/AHA guideline, this is mainly because there is limited quality evidence on this topic and no randomized trials directly demonstrated better clinical outcomes with intensive BP control <130/80 mm Hg in diabetic patients. 2,9 Therefore, more quality studies are needed to solve this uncertainty and guide clinical practice. Furthermore, cost-benefit analysis of treating diabetic patients with stage 1 hypertension would give us additional information from public health perspective.…”

Section: Discussionmentioning

confidence: 99%

Impact of the Discordance Between the American College of Cardiology/American Heart Association and American Diabetes Association Recommendations on Hypertension in Patients With Diabetes Mellitus in the United States

2018

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Impact of the Discordance Between the American College of Cardiology/American Heart Association and American Diabetes Association Recommendations on Hypertension in Patients With Diabetes Mellitus in the United States

2018

View full text Add to dashboard Cite

“…Similarly, diabetic patients represented the entire population in two of the trials, and they were also included in two of the remaining trials. Our group is currently preparing separate systematic reviews and meta-analyses to evaluate whether targets lower than 130/80 mmHg, as recommended in clinical guidelines, reduce morbidity or mortality as compared with standard targets in patients with diabetes or chronic renal disease [20]. Preliminary results seem to show some clinical benefits with a diastolic target lower than 80 mmHg instead of lower than 90 mmHg in persons with diabetes, basically due to the subgroup analysis in HOT [14].…”

Section: New Evidence On Diastolic Blood Pressure Targetsmentioning

confidence: 99%

Blood pressure targets: are clinical guidelines wrong?

Arguedas

2010

Current Opinion in Cardiology

View full text Add to dashboard Cite

Association of pulse pressure with all‐cause mortality in older Japanese patients with type 2 diabetes mellitus: A observational cohort study

Fukunaga

Koji

Hayashi

2022

Japan Journal Nursing Sci

View full text Add to dashboard Cite

Aim: Although systolic and diastolic blood pressures as well as blood glucose are monitored when nurses care for patients with type 2 diabetes, the same is not true for pulse pressure. We aimed to determine the association between pulse pressure and all-cause mortality. Methods:We conducted a longitudinal study of outpatients with type 2 diabetes aged 65 years and older at diabetes-specialized hospitals in Japan from September 2004 to December 2016. Descriptive data, blood pressure measurements, blood analysis data, and information on life and death were obtained from medical records. Cox proportional hazards models were used to estimate the relative risks with 95% confidence intervals for all-cause mortality.Results: We analyzed 357 of the 383 recruited patients (mean age, 74.9 years; 175 men and 182 women; average follow-up, 7.7 years), and 50 patients died. After adjusting for covariates, the relative risks for pulse pressures of 55 to <65, 65 to <75, and ≥75 mmHg (reference: <55 mmHg) were 1.77 (95% confidence interval: [0.59, 5.28]), 2.66 (95% confidence interval: [0.93, 7.56]), and 3.23 (95% confidence interval: [1.16, 8.99]), respectively. The relative risk for the 65 mmHg or higher group (reference: <65 mmHg) was 2.08 (95% confidence interval: [1.11, 3.92]). Neither systolic blood pressure nor diastolic blood pressure alone were significantly associated with mortality. Conclusions:In older patients with type 2 diabetes, a wide pulse pressure was associated with a higher risk of all-cause mortality. Nurses caring for older people with diabetes should also monitor pulse pressure.

show abstract

Blood pressure targets for hypertension in patients with diabetes mellitus

Cited by 4 publications

References 15 publications

Impact of the Discordance Between the American College of Cardiology/American Heart Association and American Diabetes Association Recommendations on Hypertension in Patients With Diabetes Mellitus in the United States

Impact of the Discordance Between the American College of Cardiology/American Heart Association and American Diabetes Association Recommendations on Hypertension in Patients With Diabetes Mellitus in the United States

Blood pressure targets: are clinical guidelines wrong?

Association of pulse pressure with all‐cause mortality in older Japanese patients with type 2 diabetes mellitus: A observational cohort study

Contact Info

Product

Resources

About