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Blood pressure control in hypertensive patients with a history of stroke

Yuko Ohta1, Takuya Tsuchihashi, Setsuro Ibayashi

  • 1Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|October 2, 2007
PubMed

Insights

Hypertensive patients with a history of stroke showed lower diastolic blood pressure (BP) and higher rates of strict BP control (<130/85 mm Hg) compared to those without stroke history. This suggests increased physician awareness for BP management in stroke survivors.

Area of Science:

  • Cardiology
  • Neurology
  • Hypertension Research

Background:

  • Optimal blood pressure (BP) targets for hypertensive patients with a history of stroke are not well-defined.
  • Hypertension is a major risk factor for stroke, necessitating effective BP management strategies.

Purpose of the Study:

  • To assess the current status of BP control in hypertensive patients with a history of stroke.
  • To compare clinical characteristics and BP control between hypertensive patients with and without a history of stroke.

Main Methods:

  • A retrospective analysis of 413 hypertensive patients visiting a specialized clinic.
  • Comparison of clinical characteristics and BP measurements (averaged from two occasions in 2002) between patients with and without stroke history (including infarction, TIA, hemorrhage).
  • BP was measured using a mercury sphygmomanometer; strict BP control defined as <130/85 mm Hg.

Main Results:

  • Patients with stroke history had significantly lower diastolic BP (76 vs 82 mm Hg) but similar systolic BP compared to those without stroke history.
  • The rate of strict BP control (<130/85 mm Hg) was significantly higher in stroke patients (35.8%) than in non-stroke patients (19.8%).
  • Antihypertensive drug classes used were similar, with calcium antagonists being most frequent; diuretics and beta-blockers were less common in ischemic stroke patients.

Conclusions:

  • Hypertensive patients with a history of stroke exhibited lower BP levels and achieved stricter BP control in an outpatient setting.
  • This may indicate heightened physician awareness and adherence to BP management guidelines for stroke prevention and secondary prevention.
  • Further research is warranted to confirm optimal BP targets for this high-risk population.

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