Sennello Kathleen A, Schulman Rhonda L, Prosek Robert, Siegel Arthur M
Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL 61801, USA.
J Am Vet Med Assoc. 2003 Jul 15;223(2):198-201. doi: 10.2460/javma.2003.223.198.
To determine the prevalence of systemic hypertension in cats with diabetes mellitus and establish ranges for echocardiographic variables in diabetic cats.
Prospective study.
14 cats with diabetes mellitus and 19 healthy control cats.
Systolic blood pressure was measured indirectly with a noninvasive Doppler technique. Ophthalmic and echocardiographic examinations were performed, and urine protein concentration was measured. Cats were considered to have hypertension if they had systolic blood pressure > 180 mm Hg and at least 1 other clinical abnormality typically associated with hypertension (eg, hypertensive retinopathy, left ventricular hypertrophy, or proteinuria).
None of the diabetic or control cats had systolic blood pressure > 180 mm Hg. One diabetic cat had left ventricular hypertrophy, but systolic blood pressure was 174 mm Hg. None of the cats had evidence of hypertensive retinopathy or proteinuria. Mean values for echocardiographic variables for the diabetic cats were not significantly different from published values for healthy cats.
Results suggest that hypertension does not occur or occurs in only a small percentage of cats with diabetes mellitus.
确定患有糖尿病的猫全身性高血压的患病率，并确定糖尿病猫超声心动图变量的范围。
前瞻性研究。
14只患有糖尿病的猫和19只健康对照猫。
使用无创多普勒技术间接测量收缩压。进行眼科和超声心动图检查，并测量尿蛋白浓度。如果猫的收缩压>180mmHg且至少有1种通常与高血压相关的其他临床异常（例如，高血压性视网膜病变、左心室肥厚或蛋白尿），则被认为患有高血压。
糖尿病猫或对照猫均无收缩压>180mmHg。1只糖尿病猫有左心室肥厚，但收缩压为174mmHg。没有猫有高血压性视网膜病变或蛋白尿的证据。糖尿病猫超声心动图变量的平均值与健康猫的已发表值无显著差异。
结果表明，高血压在患有糖尿病的猫中不发生或仅在一小部分猫中发生。
