JAHA：血压＜130/80mmHg的糖尿病患者心血管结局更差

2018-10-16 MedSci MedSci原创

对有心血管危险因素的糖尿病患者的理想血压管理尚存在争议。本研究纳入了EXAMINE临床研究中的5380名2型糖尿病伴近期冠心病患者。根据美国心脏病学会的2015年指南和2017年美国糖尿病学会指南，收缩压在131-140mmHg，舒张压在81-90mmHg是被推荐的理想血压。血压与心血管发表风险呈U型相关。与理想血压相比，收缩压＜130mmHg或/和收缩压＜80mmHg可以明显增加患者主要心血管不

对有心血管危险因素的糖尿病患者的理想血压管理尚存在争议。

本研究纳入了EXAMINE临床研究中的5380名2型糖尿病伴近期冠心病患者。根据美国心脏病学会的2015年指南和2017年美国糖尿病学会指南，收缩压在131-140mmHg，舒张压在81-90mmHg是被推荐的理想血压。血压与心血管发表风险呈U型相关。与理想血压相比，收缩压＜130mmHg或/和收缩压＜80mmHg可以明显增加患者主要心血管不良事件和心衰的发生风险。

研究结果显示，在2型糖尿病伴近期冠心病患者中，平均血压＜130/80mmHg与不良的心血管预后呈相关性。

原始出处：

William B et al.Average Clinician‐Measured Blood Pressures and Cardiovascular Outcomes in Patients With Type 2 Diabetes Mellitus and Ischemic Heart Disease in the EXAMINE Trial.JAHA.2018 Oct.

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2018-10-18 zhaohui6731

#AHA#

77 0
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2018-10-18 gous

#心血管结局#

57 0
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2018-10-18 xue8604

#糖尿病患者#

68 0
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2018-10-17 一天没事干

很好的学习机会

87 0
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2018-10-17 fenfei_100

那临床该如何控制血压呢？

118 0
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2018-10-16 misszhang

谢谢MedSci提供最新的资讯

98 0

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