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C-reactive protein and blood pressure variability in type 2 hypertensive diabetic patients
Andressa S O Schein1,2, Patrícia M Bock3,4, Daniela Massierer1
1Cardiology and Endocrine Divisions.
Insights
In patients with type 2 diabetes and hypertension, high C-reactive protein (CRP) levels correlate with other cardiometabolic issues. However, elevated CRP was not linked to increased blood pressure (BP) variability in this study.
Area of Science:
- Cardiology
- Endocrinology
- Clinical Research
Background:
- Blood pressure (BP) variability and inflammation are recognized predictors of cardiovascular events in patients with type 2 diabetes and hypertension.
- C-reactive protein (CRP) is a marker of inflammation and a potential predictor of cardiovascular risk.
Purpose of the Study:
- To investigate the association between C-reactive protein (CRP) levels and blood pressure (BP) variability in patients diagnosed with both type 2 diabetes and hypertension.
Main Methods:
- A cross-sectional study was conducted with 285 patients who had type 2 diabetes and hypertension.
- Evaluated laboratory characteristics and performed 24-hour ambulatory BP monitoring.
- Assessed BP variability using standard deviation (SD), coefficient of variation (CV%), and time-rate index; patients were grouped by CRP levels (low vs. high).
Main Results:
- Patients with high CRP levels exhibited increased office systolic and diastolic BP.
- No significant differences in BP variability indexes (SD, CV%, time rate) were observed between low and high CRP groups.
- Higher BMI, total cholesterol, and HbA1c levels were noted in the high CRP group.
Conclusions:
- In diabetic-hypertensive patients, elevated CRP levels are associated with cardiometabolic derangements.
- Higher CRP levels were not found to be associated with increased blood pressure variability in this patient cohort.
Objective:
Increased blood pressure (BP) variability and inflammation are included among the factors recognized as potential predictors of cardiovascular events in type 2 diabetes and hypertension. This study aimed to evaluate whether C-reactive protein (CRP) is associated with increased BP variability in diabetic-hypertensive patients.
Patients And Methods:
We carried out a cross-sectional study with 285 diabetic-hypertensive patients, evaluating laboratory characteristics and 24-h ambulatory BP monitoring. SD, coefficient of variation (CV%), time-rate index of 24-h systolic BP (SBP), and 24-h BP patterns were evaluated. Pearson's χ-test, Student's t-test, and the Mann-Whitney test were used to compare the groups. Groups were defined by CRP of up to 3 mg/l (low) and more than 3 mg/l (high).
Results:
The age of the patients was 59 (54-62) years; 101 (35%) were men. There was an increase in office SBP [137 (127-148) vs. 145 (130-157) mmHg] and DBP [79 (73-86) vs. 82 (76-91) mmHg] in the high CRP group. Blood pressure variability indexes were not different among groups [SD: 11.2 (9-15) vs. 12.2 (10-15) mmHg; CV%: 8.6 (7-11) vs. 9.4 (7-12); time rate: 0.55±0.12 vs.12.2 (10-15) mmHg/min]. In addition, BMI (29.3±3.8 vs. 30.9±3.6 kg/m), total cholesterol [166 (148-190) vs. 177 (156-210) mg/dl], and HbA1c [7.5% (6.6-8.9) vs.8.3% (7.1-9.9)] were higher in the high CRP group.
Conclusion:
In patients with diabetes and hypertension, higher CRP levels are linked to cardiometabolic derangements, although they are not associated with increased BP variability.
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