Key result
For hypertensive patients with type 2 diabetes and stable coronary artery disease, a blood pressure target of <130/80 mmHg is reasonable, while avoiding aggressive lowering to <120/70 mmHg.
Why the study?
Controversies exist regarding the optimal BP level that is safe and provides cardiovascular protection in patients with T2DM and coexistent coronary artery disease.
Does optimal blood pressure control improve cardiovascular outcomes in patients with type 2 diabetes mellitus and coronary artery disease?
Population
Patients with T2DM and coexistent coronary artery disease
Design
Review article
Authors
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May guide individualized BP targets in T2DM with CAD; leaves open confirmation by prospective RCTs.
Does optimal blood pressure control improve cardiovascular outcomes in patients with type 2 diabetes mellitus and coronary artery disease?
In patients with T2DM and coronary artery disease, blood pressure targets should be individualized, avoiding aggressive lowering of diastolic BP below 60 mmHg to prevent adverse cardiovascular events.
Shen et al. (2019) conducted a review in Type 2 diabetes mellitus and coronary artery disease. Blood pressure control targets was evaluated. For hypertensive patients with type 2 diabetes and stable coronary artery disease, a blood pressure target of <130/80 mmHg is reasonable, while avoiding aggressive lowering to <120/70 mmHg.
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