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.

Blood Pressure Monitoring
|January 15, 2019
PubMed

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.
Abstract

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