open access

Vol 9, No 1 (2014)
Original Papers
Published online: 2014-03-18
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Concomitant diseases and selected cardiovascular complications in hospitalised patients with hypertension and diabetes

Alicja Stępień-Wałek, Iwona Gorczyca-Michta, Ewa Tomasik, Maciej Kluk, Łukasz Dobaj, Barbara Sosnowska-Pasiarska, Katarzyna Dziubek, Paweł Salwa, Kamil Michta, Beata Wożakowska-Kapłon
Folia Cardiologica 2014;9(1):10-15.

open access

Vol 9, No 1 (2014)
Original Papers
Published online: 2014-03-18

Abstract

Introduction. Patients with type 2 diabetes and hypertension are at a significantly increased risk of cardiovascular mortality, including due to myocardial infarction, and often suffer from other diseases and cardiovascular complications.

Material and methods. We studied 2513 hospitalised patients with hypertension who were divided into two groups: with diabetes (DM+, n = 637) and without diabetes DM–, n = 1876). The two groups were compared in regard to age, gender, and selected concomitant diseases and cardiovascular complications.

Results. Mean age was 70 ± 9.7 years in the DM+ group vs. 68 ± 11.0 years in the DM– group (p = 0.0001), with 51.2% women in the DM+ group compared to 43.4% women in the DM– group (p = 0.0004). The following conditions were more frequent in the DM+ group compared to the DM– group: heart failure (43.8% vs. 35.5%, p = 0.0001), atrial fibrillation(34.8% vs. 24.7%, p = 0.03), stroke (6.6% vs. 4.4%, p = 0.03), hypertriglyceridaemia (153 ± 72.1 vs. 37.1 ± 74.4 mg/dL,p = 0.0004), low HDL cholesterol level (43.4 ± 14.6 vs. 46.9 ± 19.7 mg/dL, p = 0.0002), and reduced glomerular filtrationrate (51.42 ± 19.82 vs. 56.94 ± 16.08 mL/min/1.73 m2 (p = 0.0001). No differences were found in regard to the ratesof stable coronary artery disease (33.7% vs. 29.3%, p = NS) and left ventricular hypertrophy (34.8% vs. 30.7%, p = NS).

Conclusions

1. Diabetes was significantly more common among hypertensive women compared to hypertensive men. Patients with diabetes were significantly older.

2. Macroangiopathic complications (previous myocardial infarction or stroke) and concomitant diseases (atrial fibrillation, heart failure, nephropathy) were significantly more frequent in patients with diabetes.

3. Stable coronary artery disease and left ventricular hypertrophy occurred at a similar rate in patients with or without diabetes.

4. Atherogenic dyslipidaemia was more frequent among patients with diabetes.

Abstract

Introduction. Patients with type 2 diabetes and hypertension are at a significantly increased risk of cardiovascular mortality, including due to myocardial infarction, and often suffer from other diseases and cardiovascular complications.

Material and methods. We studied 2513 hospitalised patients with hypertension who were divided into two groups: with diabetes (DM+, n = 637) and without diabetes DM–, n = 1876). The two groups were compared in regard to age, gender, and selected concomitant diseases and cardiovascular complications.

Results. Mean age was 70 ± 9.7 years in the DM+ group vs. 68 ± 11.0 years in the DM– group (p = 0.0001), with 51.2% women in the DM+ group compared to 43.4% women in the DM– group (p = 0.0004). The following conditions were more frequent in the DM+ group compared to the DM– group: heart failure (43.8% vs. 35.5%, p = 0.0001), atrial fibrillation(34.8% vs. 24.7%, p = 0.03), stroke (6.6% vs. 4.4%, p = 0.03), hypertriglyceridaemia (153 ± 72.1 vs. 37.1 ± 74.4 mg/dL,p = 0.0004), low HDL cholesterol level (43.4 ± 14.6 vs. 46.9 ± 19.7 mg/dL, p = 0.0002), and reduced glomerular filtrationrate (51.42 ± 19.82 vs. 56.94 ± 16.08 mL/min/1.73 m2 (p = 0.0001). No differences were found in regard to the ratesof stable coronary artery disease (33.7% vs. 29.3%, p = NS) and left ventricular hypertrophy (34.8% vs. 30.7%, p = NS).

Conclusions

1. Diabetes was significantly more common among hypertensive women compared to hypertensive men. Patients with diabetes were significantly older.

2. Macroangiopathic complications (previous myocardial infarction or stroke) and concomitant diseases (atrial fibrillation, heart failure, nephropathy) were significantly more frequent in patients with diabetes.

3. Stable coronary artery disease and left ventricular hypertrophy occurred at a similar rate in patients with or without diabetes.

4. Atherogenic dyslipidaemia was more frequent among patients with diabetes.

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Keywords

diabetes, hypertension, myocardial infarction, heart failure, left ventricular hypertrophy

About this article
Title

Concomitant diseases and selected cardiovascular complications in hospitalised patients with hypertension and diabetes

Journal

Folia Cardiologica

Issue

Vol 9, No 1 (2014)

Pages

10-15

Published online

2014-03-18

Bibliographic record

Folia Cardiologica 2014;9(1):10-15.

Keywords

diabetes
hypertension
myocardial infarction
heart failure
left ventricular hypertrophy

Authors

Alicja Stępień-Wałek
Iwona Gorczyca-Michta
Ewa Tomasik
Maciej Kluk
Łukasz Dobaj
Barbara Sosnowska-Pasiarska
Katarzyna Dziubek
Paweł Salwa
Kamil Michta
Beata Wożakowska-Kapłon

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