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Aggressive BP Treatments by Diabetics Fail to Lower Heart Risk
There were 208 "cardiovascular events" in the intensive group and 237 events in the standard group, the study said, though it did find that the risk of stroke was about 40 percent less in the intensive group.
However, "participants in the intensive blood pressure group were more likely to have complications such as abnormally low blood pressure or high levels of blood potassium," the researchers cautioned.
The cholesterol trial sought to discover whether a treatment that simultaneously lowered bad cholesterol while raising good cholesterol would more effectively decrease heart disease risk than a treatment that only targeted bad cholesterol levels.
Researchers assigned 5,518 participants to the trial, but found that the combined treatment failed to lower the risk of heart attack, stroke, or death from cardiovascular disease more effectively.
"Overall, the results of the ACCORD lipid trial do not support the use of combination therapy with a fibrate and a statin to reduce cardiovascular disease in most high-risk adults with type 2 diabetes," said lead author Henry Ginsberg, a professor of medicine at Columbia University College of Physicians and Surgeons.
"These new ACCORD results indicate that we do not generally need to treat even more intensively than standard practice," said Denise Simons-Morton, a co-author of the study.
But she cautioned that the results were not a repudiation of the need to take standard measures to keep blood pressure and bad cholesterol levels low.
"The treatment strategies used in the ACCORD standard control groups have previously been shown to be effective," she said.
"So the findings in no way detract from the important point that controlling blood pressure and LDL cholesterol levels reduce cardiovascular risk -- not only in patients with diabetes, but in all patients with elevated levels."
Source-AFP
TRI
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More News on: Diabetes - Self-Monitoring of Blood Glucose (SMBG), Diabetes and Exercise, Heart, Healthy Heart , Glycemic Index, Type 2 Diabetes, Decoding HbA1c Test for Blood Sugar, Diabetes - Foot Care, Lifestyle Paths to Heart Disease, Statins
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