title: [Latin American consensus on hypertension in patients with diabetes type 2 and metabolic syndrome].
abstract: The present document has been prepared by a group of experts, members of cardiology, endocrinology, internal medicine, nephrology and diabetes societies of Latin American countries, to serve as a guide to physicians taking care of patients with diabetes, hypertension and comorbidities or complications of both conditions. Although the concept of metabolic syndrome is currently disputed, the higher prevalence in Latin America of that cluster of metabolic alterations has suggested that metabolic syndrome is a useful nosography entity in the context of Latin American medicine. Therefore, in the present document, particular attention is paid to this syndrome in order to alert physicians on a particular high-risk population, usually underestimated and undertreated. These recommendations result from presentations and debates by discussion panels during a 2-day conference held in Bucaramanga, in October 2012, and all the participants have approved the final conclusions. The authors acknowledge that the publication and diffusion of guidelines do not suffice to achieve the recommended changes in diagnostic or therapeutic strategies, and plan suitable interventions overcoming knowledge, attitude and behavioural barriers, preventing both physicians and patients from effectively adhering to guideline recommendations.
authors.affiliation: Fundación Oftalmológica de Santander FOSCAL, Universidad de Santander UDES, Bucaramanga, Colômbia.
authors.forename: Patricio
authors.initials: P
authors.lastname: López-Jaramillo
authors.affiliation: Unidad de Metabolismo e Hipertensión Arterial, Hospital Universitario, Fundación Favaloro, Buenos Aires, Argentina.
authors.forename: Ramiro A
authors.initials: RA
authors.lastname: Sánchez
authors.affiliation: Clínica Platinum, Montevideo, Uruguai.
authors.forename: Margarita
authors.initials: M
authors.lastname: Diaz
authors.affiliation: Colegio Panamericano del Endotelio, Santiago, Chile.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Cobos
authors.affiliation: Clínica de Golf, Lima, Peru.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Bryce
authors.affiliation: Universidad de Guadalajara, Guadalajara, México.
authors.forename: Jose Z
authors.initials: JZ
authors.lastname: Parra-Carrillo
authors.affiliation: Asociación Colombiana de Endocrinología, Universidad de la Sabana, Bogotá, Colômbia.
authors.forename: Fernando
authors.initials: F
authors.lastname: Lizcano
authors.affiliation: Universidad de la Frontera, Temuco, Chile.
authors.forename: Fernando
authors.initials: F
authors.lastname: Lanas
authors.affiliation: Instituto Cardiológico de Buenos Aires, Buenos aires, Argentina.
authors.forename: Isaac
authors.initials: I
authors.lastname: Sinay
authors.affiliation: Asociación Latinoamericana de Diabetes, Bogotá, Colômbia.
authors.forename: Iván D
authors.initials: ID
authors.lastname: Sierra
authors.affiliation: Hospital Luis Vernaza, Guayaquil, Equador.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Peñaherrera
authors.affiliation: Universidad de Córdova, Córdova, Argentina.
authors.forename: Mario
authors.initials: M
authors.lastname: Bendersky
authors.affiliation: Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.
authors.forename: Helena
authors.initials: H
authors.lastname: Schmid
authors.affiliation: Centro Médico, Medellín, Colômbia.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Botero
authors.affiliation: Sociedad Colombiana de Cardiología, Bogotá, Colômbia.
authors.forename: Manuel
authors.initials: M
authors.lastname: Urina
authors.affiliation: Sociedad Ecuatoriana de Aterosclerosis, Guayaquil, Equador.
authors.forename: Joffre
authors.initials: J
authors.lastname: Lara
authors.affiliation: Universidade de São Paulo, Ribeirão Preto, Brasil.
authors.forename: Milton C
authors.initials: MC
authors.lastname: Foss
authors.affiliation: Federación Diabetológica Colombiana, Corozal, Colômbia.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Márquez
authors.affiliation: University of Melbourne, Melbourne, Australia.
authors.forename: Stephen
authors.initials: S
authors.lastname: Harrap
authors.affiliation: Unidad de Metabolismo e Hipertensión Arterial, Hospital Universitario, Fundación Favaloro, Buenos Aires, Argentina.
authors.forename: Agustín J
authors.initials: AJ
authors.lastname: Ramírez
authors.affiliation: Instituto Auxológico Italiano, Milão, Itália.
authors.forename: Alberto
authors.initials: A
authors.lastname: Zanchetti
mesh_terms: D015897:Comorbidity; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D004777:Environment; D057890:Epigenomics; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D007843:Latin America / Q000453:epidemiology; D008019:Life Style; D024821:Metabolic Syndrome / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D050177:Overweight / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D014505:Urban Population / Q000706:statistics & numerical data