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Erschienen in: Die Diabetologie 1/2024

18.08.2023 | Arterielle Hypertonie | CME

Hypertonie bei Menschen mit Diabetes

Epidemiologie, Diagnostik und Therapie

verfasst von: Prof. Dr. med. Markus van der Giet

Erschienen in: Die Diabetologie | Ausgabe 1/2024

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Zusammenfassung

Hypertonie und Typ-2-Diabetes (T2D) treten häufig gleichzeitig auf. Beide beeinflussen unabhängig voneinander das kardiovaskuläre Risiko, und in Kombination besitzen sie enormes Potenzial für lebensbedrohliche Schäden. Im Fokus stehen insbesondere die mikrovaskulären Störungen, die letztendlich zur diabetischen Nephropathie und auch Herzinsuffizienz führen. Gerade beim T2D stellt die Bluthochdruckbehandlung eine große Herausforderung dar, da nicht selten eine isolierte systolische Hypertonie vorliegt. Es gibt aber mittlerweile sehr gute und einfache Therapiealgorithmen, die eine Behandlung des Bluthochdrucks ermöglichen und über den frühen Einsatz antihypertensiv wirksamer Kombinationstherapeutika das Morbiditäts- und Mortalitätsrisiko der Betroffenen reduzieren und damit deren Tablettenlast begrenzen. In den letzten Jahren wurden Zielwerte im Bereich von 130 mm Hg systolisch identifiziert, die erreicht werden sollten, um einen optimierten Schutz für den Patienten zu gewährleisten.
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Metadaten
Titel
Hypertonie bei Menschen mit Diabetes
Epidemiologie, Diagnostik und Therapie
verfasst von
Prof. Dr. med. Markus van der Giet
Publikationsdatum
18.08.2023
Verlag
Springer Medizin
Erschienen in
Die Diabetologie / Ausgabe 1/2024
Print ISSN: 2731-7447
Elektronische ISSN: 2731-7455
DOI
https://doi.org/10.1007/s11428-023-01082-9

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