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Tipo do documento: Artigo
Título: Hypertensive diabetic patients. Guidelines for conduct and their difficulties
Autor: Souza, Weimar Kunz Sebba Barroso de
Jardim, Paulo Cesar Brandao Veiga
Jardim, Thiago de Souza Veiga
Souza, Cláudio T. S.
Magalhães, Alessandro Leonardo Alvares
Ibrahim, Fuad Moraes
Couto, Priscila V. O.
Lordsleem, Andrea Bezerra de Melo da Silveira
Monego, Estelamaris Tronco
Abstract: Objective - To assess the effect of blood pressure (BP) control and other cardiovascular risk factors in patients with diabetes mellitus in a referral service for the treatment of hypertension. Methods - A retrospective study where diabetic pa- tients (at least 2 fasting glucose levels above 126 mg/dL, use of hypoglycemic agents or insulin, or both of these) were in- cluded. They were evaluated at the first appointment (M1) and at the last appointment (M2), regarding blood pressu- re, body mass index (BMI), use of hypertensive drugs, glyce- mia, total cholesterol (TC), creatinine, and potassium. Results - Of 1,032 patients studied, 146 patients with a mean age of 61.6 years had diabetes, and 27 were men (18.5%). Mean follow-up was 5.5 years. BP values were 161.6 x 99.9 mmHg in M1 and 146.3 x 89.5 mmHg in M2. In M1, 10.4% of the patients did not use medications, 50.6% used just 1 drug, 30.8% used 2 drugs, and 8.2% used 3 or more drugs. In M2, these values were 10.9%, 39%, 39.7%, and 10.4%, respectively. Diuretics were the most commonly used medication, whereas angiotensin-converting enzyme inhibitors (ACE inhibitors) were those drugs which presented greater increase when comparing M1 to M2 (24.6% and 41.7%, respectively). Only 17,1% reached the recommended goal (BP<130x85 mmhg). The other cardio- vascular risk factors did not change significantly. Conclusion - Our data reinforce the necessity of a more aggressive approach in the treatment of these patients, despite the social and economic difficulties in adhering to treatment.
Palavras-chave: Hypertension
País: Brasil
Unidade acadêmica: Faculdade de Medicina - FM (RG)
Citação: BARROSO, Weimar K. S. et al. Hypertensive diabetic patients. Guidelines for conduct and their difficulties. Arquivos Brasileiros de Cardiologia, São Paulo, v. 81, n. 2, p. 137-142, Aug. 2003.
Tipo de acesso: Acesso Aberto
Identificador do documento: 10.1590/S0066-782X2003001000003
Identificador do documento: 10.1590/S0066-782X2003001000003
Data de publicação: Ago-2003
Aparece nas coleções:FM - Artigos publicados em periódicos

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