Left ventricular hypertrophy in acute stroke patients with known hypertension

Abstract

In acute stroke patients, poor adherence to hypertension treatment is a significant independent predictor of LVH. A clear reason for poor adherence to treatment is elusive in a large proportion of these patients in our study. Further research is needed to identify and develop strategies to combat the key factors responsible for poor adherence to hypertension treatment.

Left Ventricular Hypertrophy in Young Africans With First Ever Stroke in Tanzania: A Prospective Cohort Study 

“…It is notable that not taking anti-hypertensive medications was the only independent factor associated with LVH among the young stroke participants, in line with other studies (32). In this study, the majority of young participants had premorbid hypertension.…”

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension

“…There is a strong correlation between the extent of nonadherence to antihypertensive treatment and the magnitude of BP elevation, based on both office BP measurements and 24 h ABPM [657]. Nonadherence is associated with several adverse CV outcomes, including LVH [1649], microalbuminuria [1650], myocardial infarction, stroke, HF [1651,1652], CKD [1653,1654], hospitalization rates, all-cause mortality [1655], reduced quality of life and overall increased healthcare costs [479]. CV hospitalization and death are also closely related to treatment discontinuation [478] and the relationship between adherence and clinical outcomes is apparent in both men and women [1008], younger and older patients as well as patients with different levels of comorbidities and mortality risk [479].…”

Correlation of Hypertension Self-Care Activity Level Effects Factors with Perceived Stress in Uncontrolled Hypertensive Patients

“…Another study states that medicine is essential in controlling hypertension, so medication adherence is a priority issue that must improve [11]. High nonadherence to taking medication will be at risk for the occurrence of resistant hypertension [23], causing cardiovascular, cerebrovascular, kidney and death disorders [8], [24]. The non-adherence shown by respondents in this study found that the percentage of medication adherence was still low.…”

“…Items 4, 5, 6, 7, 9, 10, and 13 are scored in the reverse direction. Stress level assessment consists of three categories: Mild stress level (score range 1-14), moderate stress level (score range [15][16][17][18][19][20][21][22][23][24][25][26], and severe stress level (score >26) [16].…”