当前位置： SCI文献检索 > REVISTA CLINICA ESPANOLA期刊下所有文献 > [Study of the stroke and coronary risks in hypertensive patients over 54 years of age in the primary care practice].

[Study of the stroke and coronary risks in hypertensive patients over 54 years of age in the primary care practice].

Abstract：

BACKGROUND AND OBJECTIVES:Quantification of stroke risk is not always performed in hypertensive patients in Primary Care. METHODS:This was an epidemiological study in hypertensive patients aged 55 years and older attending primary care centres in Spain. The D'Agostino Stroke Risk Scale, using data from the Framingham Study, was used for assessment of stroke risk. RESULTS:We analysed 4,945 patients (mean age, 66.8 years; 50.9% females). Mean blood pressure (BP) values were 145/86 mmHg in men and 143.7/84.7 mmHg in women (p < 0.001). The majority of patients (80.5%) showed high BP values that were above the values recommended in the guidelines, despite most of them (89.6%) receiving pharmacological antihypertensive treatment. 41% of patients were diabetics. The 10-year global risk of stroke was 22.5%, and was higher in men (28.6% vs. 16.8%; P < 0.001). The risk of stroke increased with age, being more marked in women. Several risk factors showed a statistically significant association with the risk of stroke. From higher to lower significance, these risk factors were: age, left ventricular hypertrophy (LVH), cardiovascular disease, systolic BP, auricular fibrillation, diabetes, cigarette smoking, control of BP, gender, and antihypertensive treatment. The 10-year coronary risk was higher in men (24.2% vs. 16.0%; p < 0.001) and was significantly related to the 10-year risk of stroke (r = 0.626). CONCLUSIONS:The risk of stroke in the Spanish hypertensive population is high, and is significantly higher in men, although it shows a larger age-related increase in women. Linear regression analysis showed a moderate, but statistically significant, correlation between coronary risk and risk of stroke. Apart from all the variables included in the Framingham Stroke Risk Model, gender, control of BP, and antihypertensive treatment accounted significantly and independently as calculated risk factors for incidence of stroke.

journal_name

Rev Clin Esp

journal_title

Revista clinica espanola

authors

Roca-Cusachs Coll A,Muñoz Lloret A,de Castellar R,Garrido Costa C,ICTUS study.

doi

10.1157/13128673

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

490-8

issue

eissn

0014-2565

issn

1578-1860

pii

13128673

journal_volume

208

pub_type

杂志文章

在线工具

[Study of the stroke and coronary risks in hypertensive patients over 54 years of age in the primary care practice].