Intensive treatment of arterial hypertension in diabetic patients?
| Author : Pierre Allain |
Date : 2010-4-2 |
A study called ACCORD, published in the NEJM, March 2010, compares the efficacy of 2 antihypertensive treatments, a standard one aiming to obtain a systolic blood pressure below 140 mm Hg with generally 2 drugs and an intensive one aiming to obtain a systolic blood pressure below 120 mm Hg with 3 or more drugs at high doses.
The two types of treatment gave identical results on all-cause mortality and on the frequency of cardiovascular events but there was more adverse effects in the intensively treated group.
The results of the trial suggest to prefer in diabetic patients a standard treatment of hypertension to an intensive one.
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