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Risk of Stroke according to the Duration of Diabetes Mellitus with Hypertension
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고혈압을 동반한 당뇨병에서 유병기간에 따른 뇌졸중 위험도

논문 기본 정보

Type
Academic journal
Author
Hee Sung Kim (Department of Biomedical Laboratory Science Catholic Kwandong University Gangneung Korea)
Journal
The Korean Society for Clinical Laboratory Science 대한임상검사과학회지 대한임상검사과학회지 제52권 제3호 KCI Accredited Journals
Published
2020.1
Pages
188 - 193 (6page)

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Risk of Stroke according to the Duration of Diabetes Mellitus with Hypertension
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Stroke is a major cause of death and disorder, and diabetes mellitus (DM) is a significant risk factor of stroke. This study examined the importance of target blood pressure (＜140/＜90 mmHg) management in patients with DM. Based on the data of the 6th National Health and Nutrition Examination Survey, a total of 16,389 patients aged 18 to under 80 were assessed through regression analysis to estimate the risk of stroke through blood pressure control. The prevalence of stroke according to the presence or absence of DM was higher in the diabetic group, and a longer duration of DM indicated a higher risk of hypertension and stroke. The hazard ratio of stroke was lower in the maintenance group (0.57) of target blood pressure (＜140/＜90 mmHg) compared to the high blood pressure group(＞140/＞90 mmHg). Despite the accompanying treatment for DM and hypertension, the frequency of hypertension increased, and the prevalence of stroke increased after five years of DM. Hence, effective blood pressure management at this time is important. The risk of stroke should be reduced by continuously managing blood pressure in DM.
#Hypertension #Diabetes mellitus complication #Stroke

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References (29)

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Haidong Wang / 2016 / Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015 / The Lancet 388(10053):1459~1544 Crossref The Emerging Risk Factors Collaboration / 2010 / Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies / The Lancet 375(9733):2215~2222 Crossref Dirk Sander / 2009 / Reducing the risk of stroke in type 2 diabetes: pathophysiological and therapeutic perspectives / Journal of Neurology 256(10):1603~1619 Crossref Konstantinos Tziomalos / 2014 / Type 2 diabetes is associated with a worse functional outcome of ischemic stroke / World Journal of Diabetes 5(6):939 Crossref Mathew J. Reeves / 2010 / Quality of Care and Outcomes in Patients With Diabetes Hospitalized With Ischemic Stroke / Stroke 41(5):E409~E417 Crossref

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