Key result
Type 2 diabetes in hypertensive patients was associated with a significantly higher prevalence of non-dipping (62.1% vs 45.9%; p<0.001) and riser (19.9% vs 8.1%; p<0.001) blood pressure patterns.
Why the study?
Does the presence of type 2 diabetes alter the circadian pattern of ambulatory blood pressure in hypertensive patients?
Population
12,765 hypertensive patients, mean age 58.1 ± 14.1 years, enrolled in primary care centers of northwest…
Comparison
Presence of type 2 diabetes vs Absence of type 2 diabetes
Design
Cross-sectional
Follow-up
48 hours (monitoring duration)
Authors
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Non-dipping BP assessment in diabetes requires cautious interpretation; leaves open standardized ABPM protocols for consistent CVD risk stratification.
Cross-Sectional (n=12,765)
Yes
Does the presence of type 2 diabetes alter the circadian pattern of ambulatory blood pressure in hypertensive patients?
Absolute Event Rate: 62.1% vs 45.9%
p-value: p=<0.001
Hypertensive patients with type 2 diabetes have a significantly higher prevalence of abnormal circadian BP patterns (non-dipping and riser patterns) and increased pulse pressure, supporting the routine use of ABPM for CVD risk assessment in this population.
Ayala et al. (2012) conducted a cross-sectional in Hypertension (n=12,765). Type 2 diabetes vs. Without type 2 diabetes was evaluated on Prevalence of non-dipping blood pressure pattern (p=<0.001). Type 2 diabetes in hypertensive patients was associated with a significantly higher prevalence of non-dipping (62.1% vs 45.9%; p<0.001) and riser (19.9% vs 8.1%; p<0.001) blood pressure patterns.
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