Document Detail

The association of masked hypertension in treated type 2 diabetic patients with carotid artery IMT.
MedLine Citation:
PMID:  20554071     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To evaluate the association of masked hypertension (MH) in treated type 2 diabetic patients without history of cardiovascular disease with carotid artery target organ damage.
METHODS: Sixty-four type 2 diabetic patients treated for hypertension with office BP below 140/90 mm Hg were examined by 24-h BP monitoring and carotid sonography. MH was diagnosed if daily mean ambulatory BP was >or=135/85 mm Hg. The association of MH with carotid artery parameters was evaluated.
RESULTS: The average age of patients was 62+/-5 years. Twenty-four patients had MH (37.5%). Carotid artery IMT was 0.74+/-0.08 mm in patients with MH and 0.69+/-0.06 mm without MH (p=0.03). The distensibility of common carotid artery was 0.24+/-0.07 mmHg(-1) in patients with MH and 0.29+/-0.1mm Hg(-1) without MH (p=0.14). After adjustment for age, gender, smoking, duration of diabetes, BMI and clinic blood pressure (BP) values the association of MH with carotid artery IMT was sustained.
CONCLUSION: Masked hypertension in treated type 2 diabetic patients is associated with carotid artery IMT.
Jiri Charvat; Jaromir Chlumsky; Marcela Szabo; Eva Zakovicova; Vaclav Zamrazil
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-31
Journal Detail:
Title:  Diabetes research and clinical practice     Volume:  89     ISSN:  1872-8227     ISO Abbreviation:  Diabetes Res. Clin. Pract.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508335     Medline TA:  Diabetes Res Clin Pract     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  239-42     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.
Medical department of 2nd Faculty Hospital of Charles University in Prague, Prague, Czech Republic.
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MeSH Terms
Antihypertensive Agents / therapeutic use
Blood Pressure / drug effects
Carotid Artery Diseases / complications*,  drug therapy,  pathology
Diabetes Mellitus, Type 2 / complications*,  drug therapy,  pathology
Hypertension / diagnosis*,  drug therapy,  etiology*
Middle Aged
Reg. No./Substance:
0/Antihypertensive Agents

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