Ecker J
Interne Abteilung, Landeskrankenhaus Gmunden, Miller von Aichholzstrasse 49, A-4810 Gmunden.
Acta Med Austriaca Suppl. 2002;56:12-3.
In comparison to non-diabetic normotensive control subjects, hypertensive diabetic patients have a four-fold increased risk for cardiovascular morbidity and mortality. Additional to WHO/IHS definition, the terminus "high-normal blood pressure" (systolic 130-140 mm Hg and diastolic 85 - < 90 mm Hg) was used for data analysis. The mean blood pressure was elevated among diabetic subjects (157/85 mmHg) when compared to the non-diabetic group (141/82 mm Hg). The analysis of visitors with an already known diabetes yielded only 14% of probands having normal blood pressure, whereby 63% of diabetic subjects were definitely in the hypertensive range. In overweight (BMI > 28 kg/m2) subjects, whose percentage in our population were 32%, blood pressure was elevated (RR > 150/90) in 51%. In subclasses with high blood pressure, an increased cholesterol level was often seen; 64% of these subjects had a cholesterol level of greater 200 mg/dl.
与非糖尿病正常血压对照受试者相比,高血压糖尿病患者发生心血管疾病的发病率和死亡率增加了四倍。除了世界卫生组织/国际高血压学会(WHO/IHS)的定义外,“血压正常高值”(收缩压130 - 140 mmHg,舒张压85 - < 90 mmHg)这一术语用于数据分析。与非糖尿病组(141/82 mmHg)相比,糖尿病受试者的平均血压升高(157/85 mmHg)。对已确诊糖尿病的受试者进行分析发现,只有14%的受试者血压正常,其中63%的糖尿病受试者肯定处于高血压范围。在超重(BMI > 28 kg/m²)的受试者中(在我们的人群中占32%),51%的受试者血压升高(RR > 150/90)。在高血压亚组中,经常可以看到胆固醇水平升高;这些受试者中有64%的胆固醇水平大于200 mg/dl。