This then refutes this study; Are Blood Pressure Drugs Worth the Falls?
Ask your doctor for an analysis for which one is correct. This latest specifically studied diabetes patients. So have your doctor check that out.
http://www.alphagalileo.org/ViewItem.aspx?ItemId=144566&CultureCode=en
Study on patients with type 2 diabetes examined fracture risk with antihypertensive treatment
It's
time to question the common belief that patients receiving intensive
blood pressure treatment are prone to falling and breaking bones. A
comprehensive study in people ages 40 to 79 with diabetes, led by Karen
Margolis, MD, of HealthPartners Institute for Education and Research in
the US, found no evidence supporting this belief. The study¹ appears in
the Journal of General Internal Medicine², published by Springer.
Evidence from various clinical trials shows that cardiovascular
events such as strokes can be prevented by treating high blood pressure
(hypertension).. However, physicians and patients still often express
concern that its tight control may increase a person's risk of low blood
pressure (hypotension) and subsequent falls and fractures.
Scientific
data to support this notion are sparse. Therefore, Margolis and her
associates compared the number of falls and fractures of type 2 diabetes
patients receiving two types of blood pressure treatment. The intensive
group (which included 1,534 participants) received treatment aimed at a
systolic blood pressure of <120 mm Hg, while the target for the
standard group (1,565 participants) was <140 mm Hg.
Participants
were all part of ACCORD-BONE, an ancillary study of the Action to
Control Cardiovascular Risk in Diabetes (ACCORD) randomized trial, which
tested how more intensive treatment of blood sugar, blood pressure and
lipids affected cardiovascular disease outcomes in people with diabetes.
Participants in the ACCORD-BONE study were, on average, about 62 years
old; none were 80 or older.
The results show that patients who
received intensive blood pressure treatment did not fall more than less
intensively treated patients, nor did they incur more fractures over an
average follow-up of about five years.
"Lowering blood pressure
using intensive treatment compared with standard treatment did not
result in an increased rate of falls or fractures and, in fact, showed
possible trends towards fewer fractures in the intensively treated
patients," explains Margolis. "Although intensive blood pressure
treatment to the low levels in ACCORD did not lower cardiovascular
events, our results and review of the literature suggest a need to
carefully reconsider current thinking about whether antihypertensive
treatment and blood pressure lowering increases risk for falls and
fractures."
Results in older versus younger patients were not
different. No evidence suggested that the risk of patients' falling
varied over time, although there were not enough fractures to determine
if the short-term risk might be higher at the beginning of intensive
treatment. It is important to note that subjects in this study were more
closely monitored than most patients in clinical practice; therefore,
the results may not completely reflect what would happen in actual
practice.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment