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Frequency of ischaemic heart disease and stroke in hypertension

Nazir Ahmed1

  • 1Department of Medicine, Frontier Medical College, Abbottabad.

JPMA. the Journal of the Pakistan Medical Association
|April 28, 2010
PubMed

Insights

Hypertensive males experience higher rates of ischaemic heart disease and cerebrovascular accident (CVA) than females. Controlling high blood pressure can reduce the incidence of these serious cardiovascular events.

Area of Science:

  • Cardiovascular Medicine
  • Hypertension Research
  • Epidemiology

Background:

  • Systemic hypertension is a significant risk factor for cardiovascular and cerebrovascular diseases.
  • Understanding the differential impact of hypertension on various patient demographics is crucial for targeted prevention strategies.

Purpose of the Study:

  • To determine the prevalence of ischaemic heart disease (IHD) and cerebrovascular accident (CVA) in patients diagnosed with hypertension.
  • To compare the frequency of IHD and CVA between male and female hypertensive individuals.

Main Methods:

  • A cross-sectional study involving 200 hypertensive patients (≥15 years) was conducted at Shahina Jamil Teaching Hospital, Abbottabad.
  • Data collection occurred between June and December 2007, including patient demographics, blood pressure, BMI, and serum lipid levels.
  • Patients were investigated for the presence of IHD and CVA to estimate the frequency of these conditions.

Main Results:

  • Ischaemic heart disease was diagnosed in 44% of hypertensive patients, and cerebrovascular accident in 13% (9% ischaemic, 4% haemorrhagic).
  • The study observed a higher frequency of both IHD and CVA in male hypertensive patients compared to their female counterparts.
  • Demographic analysis revealed differences in mean age, BMI, and lipid profiles between genders.

Conclusions:

  • Ischaemic heart disease and cerebrovascular accident are more common in hypertensive males than females.
  • Effective management of systemic hypertension is essential for reducing the incidence of IHD and CVA in the hypertensive population.
Abstract

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