在1型糖尿病中,与年龄相关的血压变化模式
Mats Rönnback1, Johan Fagerudd, Carol Forsblom
1Folkhälsan Research Center, Biomedicum Helsinki, Helsinki, Finland.
Circulation
|August 25, 2004
概括
1型糖尿病加速动脉衰老,导致脉冲压 (PP) 升高和心血管风险增加. 这种情况发生是因为与非糖尿病人相比,静脉压升高,静脉压较早下降,而非糖尿病人则较早下降.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 老年学是一门学科.
背景情况:
- 动脉硬化导致与年龄相关的脉压 (PP) 增加,这是心血管疾病的预测因素.
- 1型糖尿病与较高的心血管死亡率和动脉硬性有关.
研究的目的:
- 为了调查与年龄相关的血压变化是否在1型糖尿病患者和非糖尿病患者之间存在差异.
主要方法:
- 这是一项横截面的病例对照研究,比较了2988名糖尿病人与5486名非糖尿病人对照.
- 血压测量两次使用血压计.
主要成果:
- 糖尿病患者在所有年龄段都表现出较高的缩血压.
- 舒张血压在年轻的糖尿病患者 (<40) 中较高,但在老年人 (>45) 中较低.
- 糖尿病患者呈现较高的PP,较高的隔离性缩性高血压,以及加快的PP上升,特别是在脏病.
结论:
- 1型糖尿病加快了动脉衰老,由更高和更快增长的PP证明.
- 这种加快的衰老可能导致这些患者心血管疾病发病率和死亡率升高.
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