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[Factors influencing secondary preventive blood pressure control in hypertensive stroke patients]

K Spengos1, G Tsivgoulis, E Manios

  • 1Neurologische Klinik, Eginition Krankenhaus, Universität Athen, Athen, Griechenland. spengos@hol.gr

Der Nervenarzt
|May 1, 2004
PubMed

Insights

Blood pressure control is poor in stroke survivors, with only 38.8% achieving target levels. Diabetes negatively impacts control, while heart disease and diuretic use improve it, highlighting the need for tailored antihypertensive strategies.

Area of Science:

  • Cardiology
  • Neurology
  • Pharmacology

Background:

  • Hypertension management post-stroke remains a significant challenge, with over half of survivors exhibiting uncontrolled blood pressure (BP) despite medication.
  • Limited data exists on the factors contributing to suboptimal BP control in this patient population.

Purpose of the Study:

  • To prospectively investigate parameters influencing the effectiveness of BP control in hypertensive patients following a cerebrovascular event.
  • To identify predictors of successful antihypertensive treatment in stroke survivors.

Main Methods:

  • Prospective evaluation of hypertensive stroke survivors.
  • Assessment of factors affecting blood pressure control effectiveness during follow-up.

Main Results:

  • Effective BP control was achieved in only 38.8% of patients at 3 months post-stroke.
  • Diabetes mellitus was associated with reduced BP reduction, whereas coronary artery disease correlated with improved control.
  • Diuretic use emerged as an independent positive predictor of effective BP control; combined therapy was superior to monotherapy.

Conclusions:

  • Stroke survivors demonstrate suboptimal arterial pressure control.
  • Risk factors, co-existing heart disease, and specific antihypertensive medications significantly influence the prognosis for effective BP management.
Abstract

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