Similarly, very low diastolic BP increases cardiovascular mortality risk with diabetes
By Lori Solomon HealthDay Reporter
FRIDAY, Dec. 1, 2023 (HealthDay News) — Clinic systolic blood pressure (BP) â¥130âmm Hg or diastolic BP levels â¥90âmm Hg are associated with a higher risk for cardiovascular disease (CVD) mortality in people with type 2 diabetes mellitus (T2DM), according to a study published online Nov. 28 in the Journal of the American Heart Association.
Loraine Liping Seng, Ph.D., from the Duke-NUS Medical School in Singapore, and colleagues investigated the association between BP and risk for CVD mortality in patients with T2DM. The analysis included 83,721 patients with T2DM (2013 to 2019).
The researchers found that among the patients, 7.6 per 1,000 person-years experienced CVD mortality. There was a graded relationship observed between systolic BP and increased CVD mortality at levels >120 to 129âmm Hg. There was a significant association between diastolic BP levels >90âmm Hg and CVD mortality in those aged 65âyears and older. Diastolic BP <70âmm Hg was associated with a significantly higher risk for CVD mortality in all patients with T2DM.
“Our analysis underscores the need to control elevated systolic blood pressure to less than 130 mm Hg in patients with diabetes, while carefully evaluating risks if diastolic pressure gets too low,” senior author Tazeen Jafar, also from DukeâNUS Medical School, said in a statement.
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