Arterial hypertension in patients with type 2 diabetes mellitus
Hypertension, diabetes and that cluster of metabolic alterations often referred to as the metabolic syndrome are highly prevalent in Argentina and Latin America and occur frequently as associated conditions (65%). The development of diagnostic and therapeutic recommendations prepared through the jo...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2013
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/20243 |
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I10-R327-article-202432024-08-27T18:22:13Z Arterial hypertension in patients with type 2 diabetes mellitus Hipertensión arterial en pacientes con diabetes mellitus tipo 2 revisión Bendersky, Mario Sánchez, Ramiro arterial hypertension mellitus diabetes cardiovascular risk non-pharmacological and pharmacological therapy hipertensión arterial diabetes mellitus riesgo cardiovascular terapéutica no farmacológica y farmacológica Hypertension, diabetes and that cluster of metabolic alterations often referred to as the metabolic syndrome are highly prevalent in Argentina and Latin America and occur frequently as associated conditions (65%). The development of diagnostic and therapeutic recommendations prepared through the joint workof experts in different areas of medicine is desirable, considering the low rates of control achieved in the real world, and the benefits that can be expected when reasonable objectives are met. Health care resources and priorities, the socio-economic status of the population, and the prevalence of hypertension, diabetes mellitus, and other related diseases vary considerably in different regions of the world and also in different countries within each region, and even in different areas of individual countries. Recommendations to be usefully translated into practice should consider the particular medical and social features of the region where they should be applied and be cost-effective in terms of local needs and possibilities Effectively treatment of hypertension in general and particularly in diabetic patients is one of the major objectives to prevent target organ damage. Unfortunately, in our countries only 25% of the patients are in target.In this document a rationale therapeutic approach is analyzed for hypertension in diabetic patients. Life style changes and pharmacologic treatment combinations is extensively reporte. La Hipertensión Arterial (HTA) y la Diabetes mellitus tipo 2 (DM2) se asocian frecuentemente, más del 65% de los diabéticos sufren algun tipo de HTA. En Argentina la prevalencia de HTA es de alrededor del 30% de la población adulta y la prevalencia de DM2 alrededor del 5%.Se describen la definición, distintas formas clínicas, el estudio del hipertenso, y la estratificación del riesgo cardiovascular, claramente se observa que, para distintos estadíos de HTA, la coexistencia de DM2 ó Sindrome Metabólico, eleva en forma notable el riesgo de eventos. Entre los factores de riesgo tradicionales, las condiciones socio-económicas deben recibir atención especial en Latinoamérica. Del mismo modo se debe hacer énfasis en el bajo nivel de educación, a causa del alto porcentaje de población nativa con bajas oportunidades de obtener una educación adecuada.El tratamiento de la HTA en el diabético es una de las medidas mas efectivas para reducir el riesgo.Se analizan las metas tensionales en diabéticos, las medidas no farmacológicas que han demostrado eficacia preventiva, y las caracteristicas de los distintos grupos farmacológicos, así como de las asociaciones de drogas antihipertensivas, que muy frecuentemente se deben usar en estos pacientes. Ademas, se efectúan recomendaciones de selección de fármacos para pacientes con situaciones especiales. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2013-06-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/20243 10.31053/1853.0605.v70.n2.20243 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 70 No. 2 (2013); 83-90 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 70 Núm. 2 (2013); 83-90 Revista da Faculdade de Ciências Médicas de Córdoba; v. 70 n. 2 (2013); 83-90 1853-0605 0014-6722 10.31053/1853.0605.v70.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/20243/19901 Derechos de autor 2013 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
arterial hypertension mellitus diabetes cardiovascular risk non-pharmacological and pharmacological therapy hipertensión arterial diabetes mellitus riesgo cardiovascular terapéutica no farmacológica y farmacológica |
| spellingShingle |
arterial hypertension mellitus diabetes cardiovascular risk non-pharmacological and pharmacological therapy hipertensión arterial diabetes mellitus riesgo cardiovascular terapéutica no farmacológica y farmacológica Bendersky, Mario Sánchez, Ramiro Arterial hypertension in patients with type 2 diabetes mellitus |
| topic_facet |
arterial hypertension mellitus diabetes cardiovascular risk non-pharmacological and pharmacological therapy hipertensión arterial diabetes mellitus riesgo cardiovascular terapéutica no farmacológica y farmacológica |
| author |
Bendersky, Mario Sánchez, Ramiro |
| author_facet |
Bendersky, Mario Sánchez, Ramiro |
| author_sort |
Bendersky, Mario |
| title |
Arterial hypertension in patients with type 2 diabetes mellitus |
| title_short |
Arterial hypertension in patients with type 2 diabetes mellitus |
| title_full |
Arterial hypertension in patients with type 2 diabetes mellitus |
| title_fullStr |
Arterial hypertension in patients with type 2 diabetes mellitus |
| title_full_unstemmed |
Arterial hypertension in patients with type 2 diabetes mellitus |
| title_sort |
arterial hypertension in patients with type 2 diabetes mellitus |
| description |
Hypertension, diabetes and that cluster of metabolic alterations often referred to as the metabolic syndrome are highly prevalent in Argentina and Latin America and occur frequently as associated conditions (65%). The development of diagnostic and therapeutic recommendations prepared through the joint workof experts in different areas of medicine is desirable, considering the low rates of control achieved in the real world, and the benefits that can be expected when reasonable objectives are met. Health care resources and priorities, the socio-economic status of the population, and the prevalence of hypertension, diabetes mellitus, and other related diseases vary considerably in different regions of the world and also in different countries within each region, and even in different areas of individual countries. Recommendations to be usefully translated into practice should consider the particular medical and social features of the region where they should be applied and be cost-effective in terms of local needs and possibilities Effectively treatment of hypertension in general and particularly in diabetic patients is one of the major objectives to prevent target organ damage. Unfortunately, in our countries only 25% of the patients are in target.In this document a rationale therapeutic approach is analyzed for hypertension in diabetic patients. Life style changes and pharmacologic treatment combinations is extensively reporte. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2013 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/20243 |
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2024-09-03T20:59:26Z |
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