Stroke Prevalence and Risk Factor Control in Hypertensive Patients: PP.4.149

Gijón, T; Pitillas, I.; Ramirez, M.; Jones, Steven P.; Minguela, E; Morón, Ignacio; Diaz, Angelica; Gómez, O.; Palau, Javier; Egocheaga, Isabel

doi:10.1097/01.hjh.0000378473.17198.92

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“…Unsurprisingly, the prevalence of ischemic stroke was higher than that of hemorrhagic stroke. In patients with HT, the prevalence of stroke was 5.1% in Madrid, Spain 19 , and 11.6% in Southern Piauí, Brazil 20 . In Thailand, the prevalence of overall stroke in patients with HT was relatively low.…”

Section: Discussionmentioning

confidence: 96%

Prevalence of and factors associated with stroke in hypertensive patients in Thailand from 2014 to 2018: A nationwide cross-sectional study

Chantkran

Chaisakul

Rangsin

et al. 2021

Sci Rep

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Stroke is a significant cause of death and disability. In Thailand, it imposes a major health burden, and the prevalence of stroke is increasing, particularly in patients with hypertension (HT), diabetes mellitus (DM), and dyslipidemia (DLP). We aimed to determine the trends in the prevalence of stroke and the associated factors among Thai patients with HT. Nationwide cross-sectional studies were conducted annually in 2014, 2015 and 2018 based on data obtained from the Thailand DM/HT study. Nationally, representative patients with HT in Thailand were sampled with stratified one-stage cluster sampling. A total of 104,028 participants were included in this study. The prevalence of stroke remained constant, with prevalence rates of 4.0%, 3.8%, and 3.9% in 2014, 2015 and 2018, respectively (p for trend = 0.221). Our findings suggested that the management of stroke patients who are covered by the universal coverage scheme should be evaluated. Effective interventions, including promoting smoking cessation, attenuating cholesterol levels, and controlling blood pressure should be provided to hypertensive patients to prevent ischemic stroke. Young adults with HT should be more concerned about the possibility of stroke. The use of prophylactic low-dose aspirin should be carefully monitored to prevent hemorrhagic stroke.

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Section: Discussionmentioning

confidence: 96%