MORTALITY AND MORBIDITY IN TREATED HYPERTENSIVE TYPE-2 DIABETIC-PATIENTS WITH MICROPROTEINURIA OR MACROPROTEINURIA

被引:19
作者
SAWICKI, PT [1 ]
MUHLHAUSER, I [1 ]
DIDJURGEIT, U [1 ]
REIMANN, M [1 ]
BENDER, R [1 ]
BERGER, M [1 ]
机构
[1] UNIV DUSSELDORF,COLLABORATING CTR DIABET,WHO,MED DEPT METAB DIS & NUTR,DUSSELDORF,GERMANY
关键词
DIABETES MELLITUS; PROTEINURIA; HYPERTENSION; MORTALITY; MORBIDITY;
D O I
10.1111/j.1464-5491.1995.tb00392.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In order to describe the natural history of high risk diabetic patients treated for hypertension we have followed a sequential sample of 100 hypertensive Type 2 diabetic patients with elevated urinary protein excretion (greater than or equal to 60 mg 24 h(-1)) for a period of 1-7 years. Antihypertensive treatment was instituted in all patients and, in addition, the patients were offered the possibility of participation in an intensified antihypertensive therapy programme. After a mean follow-up of 4 years overall mortality was 13 %. Nineteen percent of all patients experienced a cardiovascular event and 7% a cerebrovascular event. In conclusion, in this study the overall mortality was lower that previously reported in proteinuric Type 2 diabetic patients. Antihypertensive treatment may account for this outcome.
引用
收藏
页码:893 / 898
页数:6
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