Treatments for Hypertension in Type 2 Diabetes-Non-Pharmacological and Pharmacological Measurements

Masuo, Kazuko

doi:10.5772/20685

Recent Advances in the Pathogenesis, Prevention and Management of Type 2 Diabetes and Its Complications 2011

DOI: 10.5772/20685

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Treatments for Hypertension in Type 2 Diabetes-Non-Pharmacological and Pharmacological Measurements

Kazuko Masuo

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2015

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References 163 publications

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Eighth joint national committee (JNC-8) guidelines and the outpatient management of hypertension in the African-American population

et al. 2015

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Background:Hypertension is a common medical disease, occurring in about one third of young adults and almost two thirds of individuals over the age of 60. With the release of the Eighth Joint National Committee on Prevention, Detection, Evaluation, and Treatment (JNC-8) guidelines, there have been major changes in blood pressure management in the various subgroups.Aim:Optimal blood pressure management and markers of end-organ damage in African-American adult patients were compared between patients who were managed according to the JNC-8 hypertension management guidelines and those who were treated with other regimens.Materials and Methods:African-American patients aged 18 years or older with an established diagnosis of hypertension were included in the study who were followed up in our internal medicine clinic between January 1, 2013 and December 31, 2103; the data on their systolic and diastolic blood pressure readings, heart rate, body mass index (BMI), age, gender, comorbidities, and medications were recorded. Patients were divided into four groups based on the antihypertensive therapy as follows — Group 1: Diuretic only; Group 2: Calcium channel blocker (CCB) only; Group 3: Diuretic and CCB; Group 4: Other antihypertensive agent. Their blood pressure control, comorbidities, and associated target organ damage were analyzed.Results:In all 323 patients, blood pressures were optimally controlled. The majority of the patients (79.6%) were treated with either a diuretic, a CCB, or both. Intergroup comparison analysis showed no statistically significant difference in the mean systolic blood pressure, mean diastolic blood pressure, associated comorbidities, or frequency of target organ damage.Conclusion:Although diuretics or CCBs are recommended as first-line agents in African-American patients, we found no significant difference in the optimal control of blood pressure and frequency of end-organ damage compared to management with other agents.

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Eighth joint national committee (JNC-8) guidelines and the outpatient management of hypertension in the African-American population

et al. 2015

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Treatments for Hypertension in Type 2 Diabetes-Non-Pharmacological and Pharmacological Measurements

Cited by 1 publication

References 163 publications

Eighth joint national committee (JNC-8) guidelines and the outpatient management of hypertension in the African-American population

Eighth joint national committee (JNC-8) guidelines and the outpatient management of hypertension in the African-American population

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