[Factors Conditioning Pulse Pressure in Type-2 Diabetics in a Primary Care Population Suffering from Hypertension]

Overview

Journal Aten Primaria

Specialty Public Health

Date 2003 May 27

PMID 12765586

Citations 1

Authors

G C Rodriguez Roca

F J Alonso Moreno

A Garcia Jimenez

J L Llisterri Caro

Affiliations

Soon will be listed here.

Abstract

Objective: To analyse the differences in pulse pressure (PP) between type-2 diabetic and non-diabetic hypertense patients, using clinical blood pressure (CBP) measurement and out-patient blood pressure monitoring (OPBPM) over 24 hours in primary care.

Design: Cross-sectional descriptive study.

Setting: Primary care.

Participants: 163 hypertense patients in a random sample, including the first patient of each day with an appointment.

Main Measurements: CBP (Hg sphygmomanometer) and OPBPM recording. PP was considered high when the difference between systolic and diastolic pressure was over 60 mm Hg.

Results: 31.3% (51 patients) were diabetic. Mean clinical PP was 75.9 +/- 18.4 in diabetics and 64.5 +/- 18.9 mm Hg in non-diabetics (P<.001). Mean out-patient PP was 61.4 +/- 13.8 in diabetics and 53.5 +/- 11 mm Hg in non-diabetics (P<.001), with clinical and out-patient PP correlating with age. Clinical and out-patient PP were high in 63.8% and 57.4%, respectively, of hypertense diabetics. The logistical regression model showed more likelihood of high PP in those over 64 and in those with isolated systolic hypertension and/or diabetes mellitus.

Conclusions: We found considerable differences between clinical and out-patient PP, and between the PP of the diabetic and non-diabetic population with hypertension. High out-patient PP in hypertense patients is related to diabetes and isolated systolic hypertension.

Citing Articles

Elevated pulse pressure and cardiovascular risk associated in Spanish population attended in primary care: IBERICAN study.

Moya-Amengual A, Ruiz-Garcia A, Pallares-Carratala V, Serrano-Cumplido A, Prieto-Diaz M, Segura-Fragoso A Front Cardiovasc Med. 2023; 10:1090458.

PMID: 37229234 PMC: 10203900. DOI: 10.3389/fcvm.2023.1090458.

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