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Revista Cubana de Medicina

versión impresa ISSN 0034-7523versión On-line ISSN 1561-302X

Resumen

GRONING ROQUE, Ernesto; GARCIA FERNANDEZ, Raymid; GARCIA PEREZ-VELAZCO, Ernesto Javier  y  CONCEPCION MILLAN, Ariadna. Outpatient control of high blood pressure in diabetics and non-diabetics with associated ischemic heart disease. Rev cubana med [online]. 2006, vol.45, n.4. ISSN 0034-7523.

When diabetes and ischemic heart disease are associated with high blood pressure, its treatment is complex. This paper was conceived to determine the effect of a strategy of antihypertensive treatment based on ß-blocker (atenolol) in a cohort study of diabetic and non-diabetic subjects aged over 50 with associated ischemic heart disease. 651 non-controlled hypertensive patients over 50 with chronic stable ischemic heart disease were included. They were evaluated initially and at 6, 24, and 52 weeks. After 6 weeks, 46.87 % of the non-diabetic patients, and 28.05 % of the diabetic (p < 0.001) were controlled. At 6 months, 68.94 % of the non-diabetic group, and 44.60 % of the diabetic group had controlled their blood pressure (p < 0.001). After a year, 73.43 % of the non-diabetic patients and 47.48 % of the diabetic (p< 0.001) were controlled. It was proved how difficult it is to control blood pressure in the diabetic patients

Palabras clave : Hypertension; diabetes; ischemic heart disease; ß-blocker.

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