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Blood pressure may predict mortality risk regardless of diabetic status

Investigators assessed whether office or ambulatory blood pressure measurements were predictive of a higher risk of mortality in patients with or without diabetes, according to a study published in the European Heart Journal.

The investigators used the Spanish ABPM Registry to examine the link between office, mean, daytime and nighttime ambulatory blood pressure measures and the risk of mortality among 59,124 patients — 11,391 of whom had diabetes.

They found that about 23% and 10% of the patients with diabetes and without diabetes, respectively, had comorbid cardiovascular disease. Additionally, 24-hour mean, daytime and nighttime ambulatory blood pressure measures correlated with an increased risk in both patient groups. The risk of cardiovascular mortality and all-cause mortality were increased at every level of office and ambulatory blood pressure among the patients with diabetes.

The investigators concluded that international guidelines on blood pressure control and ambulatory blood pressure monitoring may help reduce the risk of mortality in patients with hypertension, particularly those with diabetes.

Read more: European Heart Journal

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