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New Onset Diabetes Increases Risk For Heart Attack 3
Fold
posted 05/14/04
Diabetes, whether newly diagnosed or long-standing, raises
the risk of heart attack and related problems by about threefold in people with
high blood pressure, new research suggests.
Although diabetes is known to develop in patients being treated for high blood
pressure, the significance of this phenomenon is unclear, lead author Dr. Paolo
Verdecchia, from the Universita di Perugia in Italy, and colleagues note in the
medical journal Hypertension.
To investigate, the researchers assessed the heart-related outcomes of 795
patients with high blood pressure who were followed for about 6 years. At
enrollment 7 percent of the patients had type 2 diabetes, and during follow-up
an additional 6 percent developed the disease.
Compared with patients without diabetes, those with new diabetes were 2.9-times
more likely to experience a heart attack or related event -- an elevated risk
similar to the 3.6-fold risk seen in patients with long-standing diabetes.
The use of water pills or "diuretics" was more common among patients who
developed diabetes than among their peers who did not, the authors point out.
The use of diuretics on follow-up was a predictor of new diabetes, as was a high
blood sugar level at the start of the study.
Patients with these risk factors "should be monitored with care to prevent
occurrence of new diabetes," the investigators emphasize.
Source: Diabetes In Control.com: Hypertension, May 2004.
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