高血壓症と糖尿病との關係に關する統計的觀察

概要

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In order to study the disturbance of carbohydrate metabolism in the development of hypertension, statistical correlation between hypertension and diabetes was studied in total of 10,798 patients admitted to our clinic during the past 20 years (1933-1952).Patients with hypertension (P_1,above 150 ; P_5,above 90 mmHg) were 734 cases (6.8 %), diabetes, 173 cases (1.6 %), and patients with both combined, 52 cases (0.5 %). The last type of involvement occurred in 7.1 % of patients with hypertension, and in 30.0 % of diabetes. Of these 52 cases, diabetes preceded hypertension in its onset in 23 cases (44 %), hypertension preceded diabetes in 8 cases (15 %), unknown in 20 cases (39 %), and Cushing's disease occurred in one case (2 %). Namely, hypertension occurred in diabetes 4.7 times as often as in nondiabetics. Diabetes occurred in hypertensive patients 5.9 times as often as in nonhypertensive patients. Though the material available for this statistic survey has been limited to hospitalized patients, this result is generally consistent with the reports from abroad and it is obvious that diabetes and hypertension are correlated with each other, suggesting that the disturbance of ATP-ATPase system, or allied metabolic disturbance may play an important part in the development of hypertension.
社団法人日本循環器学会の論文
1955-10-20