Articolul precedent |
Articolul urmator |
371 0 |
SM ISO690:2012 STEFANIUC, Iulian. Arterial hypertension at the patients with diabetes. In: MedEspera: International Medical Congress for Students and Young Doctors, Ed. 7th edition, 3-5 mai 2018, Chişinău. Chisinau, Republic of Moldova: 2018, 7, pp. 39-40. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
MedEspera 7, 2018 |
||||||
Congresul "International Medical Congress for Students and Young Doctors" 7th edition, Chişinău, Moldova, 3-5 mai 2018 | ||||||
|
||||||
Pag. 39-40 | ||||||
|
||||||
Descarcă PDF | ||||||
Rezumat | ||||||
Introduction. Arterial hypertension within diabetes is an interdisciplinary subject of interest for cardiology and endocrinology. This topic is of major importance, taking into account the number of diabetic patients in association with hypertension is progressively increasing, and this worsens the microvascular and macrovascular complications outcomes, and increases the mortality rates. Aim of the study. Study of the frequency of high blood pressure of people with type 2 diabetes, the risk factors for developing it, and the impact of hypertension on diabetes complications. Materials and methods. The study sample included 120 patients with type 2 diabetes treated in the Endocrinology section of the Republican Clinical Hospital during 2017. We assesed tension values, body mass index, and the stress level in all patients using a questionnaire. The examination quotient was divided into groups depending on the presence or absence of hypertension (HT). Results. Out of the total number of patients 47.5 % were women aged between 39-70, the average age being 56.05 years, and 52.5 % men aged between 39-73 with average age of 54.76 years. The average values for SBP were 146.75 mmHg, and 89mmHg for DBP. Hypertension was determined in 75% of patients, 25% being normotensive. The anamnestic data revealed that in 45% of the HT patients, the diagnosis of HT preceded that of diabetes; in 23% HT was diagnosed concomitantly with diabetes and in 32% HT occurred during the course of diabetes. According to the HT classification we determined that 57% had first degree HT; 30% - second degree HT, and 23% - third grade HT. In the non-HT group 73% patients were non-obese (normoponderal and overweight), 27% were obese, while in the HT group 42% were non-obese patients, and 58% - obese. There is a statistically significant correlation between BMI and HT (p <0.05). By analysing the data, we noted that neuropathy was present in 100% patients with HT and 93.33% normotensives; retinopathy - in 30% of the HT group, and 20% in the normotensive group; cardiopathy in 33.33% with HT, and in 23.33% normotensives; nephropathy in 6.42% with HT, and in 4.44% normotensives. The questionnaire compared the level of stress between normotensitives and HT, and determined that 34% nonHT patients had a medium stress level, 23% high stress levels, and 8% an exaggerated stress level. Out of the HT patients 66% had a medium stress level, 77% a high stress level, and 82% an exaggerated stress level. Conclusions. Our results confirmed the results of existing research data regarding the high incidence of hypertension in patients with type 2 diabetes. Obesity has a major negative impact on the onset and evolution of hypertension. Most complications have been observed in HT patients, and therefore we can not state what was the negative impact of hypertension on diabetes complications. Prevention of stress situations has a beneficial effect on blood pressure. |
||||||
Cuvinte-cheie hypertension, diabetes, risk factors, complications |
||||||
|