Diabetes,diabetic complications,and blood pressure targets

• 作者: Cristiana Catena Francesca Nait Gabriele Brosolo GianLuca Colussi Leonardo A Sechi
• 来源期刊: 世界高血压杂志
• 学科: 医学
• 关键词: DIABETES Hypertension CARDIOVASCULAR EVENTS Guidelines RANDOMIZED controlled trials Evidence based medicine
• 年，卷（期）: 2015,（1）
• 页码范围: 1-5
• 页数: 5页
• 分类号: R

摘要

it well known that high blood pressure potentiates the probability of diabetic patients to develop macrovascular and microvascular complications.Strong evidence obtained in a number of large scale prospective studies indicates that adequate blood pressure control in diabetic patients is highly beneficial for prevention of cardiovascular events.Nonetheless,only a limited proportion of hypertensive-diabetic individuals included in studies on anti-hypertensive treatment has met the predefined blood pressure goal.The optimal blood pressure goal to be pursued in diabetic patients with hypertension to guarantee effective protection from cardiovascular outcomes is still under intense debate and recommendations of current guidelines on hypertension treatment are still inconsistent.We comment here on the most important studies and conclude that current evidence does not conclusively support the need to reach a blood pressure target in hypertensive patients with diabetes different from nondiabetic hypertensive individuals.