Isolated Home Hypertension in the Morning is Associated with Target Organ Damage in Patients with Type 2 Diabetes

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著者

    • SAKAGUCHI Kazuhiko
    • Division of Internal Medicine, the Harima Hospital of the Ishikawajima Harima Heavy Industries Health Insurance Society
    • HORIMATSU Takahiro
    • Division of Internal Medicine, the Harima Hospital of the Ishikawajima Harima Heavy Industries Health Insurance Society
    • KISHI Minoru
    • Division of Internal Medicine, the Harima Hospital of the Ishikawajima Harima Heavy Industries Health Insurance Society
    • TAKEDA Akihiko
    • Division of Internal Medicine, the Harima Hospital of the Ishikawajima Harima Heavy Industries Health Insurance Society
    • OHNISHI Yutaka
    • Division of Internal Medicine, the Harima Hospital of the Ishikawajima Harima Heavy Industries Health Insurance Society
    • KOIKE Takashi
    • Division of Internal Medicine, the Harima Hospital of the Ishikawajima Harima Heavy Industries Health Insurance Society
    • FUJISAWA Takashi
    • Division of Internal Medicine, the Harima Hospital of the Ishikawajima Harima Heavy Industries Health Insurance Society
    • MAEDA Mitsuo
    • Division of Internal Medicine, the Harima Hospital of the Ishikawajima Harima Heavy Industries Health Insurance Society

抄録

To investigate the relationship between the blood pressure control level and cardiovascular risk in type 2 diabetic patients, we evaluated home blood pressure, office blood pressure, biochemical data, and carotid echographic and echocardiographic findings in 148 patients with type 2 diabetes. According to the criteria for hypertension in the guidelines of the Japanese Society of Hypertension, we classified patients into a normotensive group with home systolic blood pressure in the morning (morning HSBP) < 135 mmHg and office systolic blood pressure (OSBP) < 140 mmHg, an office hypertension group with a morning HSBP < 135 mmHg and OSBP ≥ 140 mmHg, an isolated home hypertension in the morning group with morning HSBP ≥ 135 mmHg and OSBP < 140 mmHg, and a sustained hypertension group with morning HSBP ≥ 135 mmHg and OSBP ≥ 140 mmHg. In the isolated home hypertension in the morning group, the fasting insulin level, urinary albumin excretion, maximum carotid artery intima-media complex thickness, and left ventricular posterior wall thickness were significantly higher and the coefficient of variation for RR intervals was significantly lower than in the normotensive group. These results suggest that isolated home hypertension in the morning is a risk factor for target organ damage in type 2 diabetic patients.

収録刊行物

  • Journal of atherosclerosis and thrombosis  

    Journal of atherosclerosis and thrombosis 12(4), 225-231, 2005-08-25 

    Japan Atherosclerosis Society

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各種コード

  • NII論文ID(NAID)
    10018365646
  • NII書誌ID(NCID)
    AA11018976
  • 本文言語コード
    ENG
  • 資料種別
    ART
  • ISSN
    13403478
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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