The Relationship between Hemodynamic Status and Stroke Risk in Hypertensive Patients at the General Hospital of South Aceh Regency

Abstract

Hypertension is a major health issue causing global mortality and disability. This condition can lead to severe damage to the heart and blood vessels, potentially resulting in stroke. This study aims to determine the relationship between hemodynamic status and stroke risk in hypertensive patients. This study used a quantitative cross-sectional design. The population consisted of hypertensive patients at the outpatient clinic of General Hospital of South Aceh Regency, with 248 respondents. A sample of 151 respondents was selected using convenience sampling. Data were collected through face-to-face interviews and self-reporting using a manual sphygmomanometer and stethoscope to measure blood pressure, Mean Arterial Pressure (MAP) and heart rate and the Stroke Recognition Questionnaire (SRQ) to measure stroke risk variables. Data collection took place from January to March, 2024. Statistical analysis was performed using chi-square and multiple logistic regression. The study showed a significant relationship between stroke risk and blood pressure (p = 0.000), mean arterial pressure (MAP) (p = 0.000), and heart rate (p = 0.009). Logistic regression analysis indicated that the most significant predictors of stroke risk were blood pressure (p = 0.000; OR: 3.187), mean arterial pressure (MAP) (p = 0.024; OR = 2.766), and heart rate was not a predictor of stroke. Better monitoring and management of hemodynamics can help reduce the risk of stroke in hypertensive patient populations. It is crucial for healthcare practitioners to routinely monitor MAP and intervene as necessary to lower stroke risk.