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[Hypertension--main risk factor of stroke. Results of a three years register in Krasnodar]

O S Kharakoz, S G Kanorskiĭ, I S Shchelchkova

    Kardiologiia
    |December 21, 2002
    PubMed

    Insights

    Stroke incidence and mortality are high in Krasnodar, with low hospitalization rates and poor hypertension management contributing to poor outcomes. Significant opportunities exist for implementing primary and secondary stroke prevention strategies.

    Area of Science:

    • Neurology
    • Epidemiology
    • Public Health

    Context:

    • Stroke incidence and mortality rates in Krasnodar (1997-2000) exceeded those in Moscow and Novosibirsk.
    • Low hospitalization rates for stroke patients, particularly severe cases, were observed.
    • High 28-day and 1-year mortality rates underscore the severity of the stroke burden.

    Purpose:

    • To analyze stroke incidence, mortality, and risk factors in Krasnodar.
    • To evaluate the management of hypertension and its impact on stroke outcomes.
    • To identify potential areas for improving stroke prevention and patient survival.

    Summary:

    • Hypertension was the primary stroke risk factor, often mild but with frequent hypertensive crises.
    • Awareness of hypertension was high, yet only 10% received regular, often ineffective, antihypertensive therapy; half received none.
    • Post-stroke, most patients did not adhere to antihypertensive drugs or antiplatelet therapy.

    Impact:

    • The findings highlight substantial potential for implementing standard preventive measures for stroke.
    • Effective primary and secondary stroke prevention strategies could significantly reduce mortality.
    • Improved hypertension management and treatment adherence are crucial for mitigating stroke burden.

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