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[Course and outcome of arterial hypertension after stroke]
Insights
Outcomes after stroke differ based on hypertension type. Atherosclerotic hypertension patients showed stable outcomes, while hypertensive disease patients faced increased cardiac risks post-stroke.
Area of Science:
- Cardiovascular Medicine
- Neurology
- Hypertension Research
Context:
- Study focuses on long-term outcomes in 92 patients with hypertensive disease and atherosclerosis post-stroke.
- Follow-up period of 6 years to observe clinico-hemodynamic features and arterial hypertension.
- Examines patients with a history of acute stroke in arteria caroticus interna areas.
Purpose:
- To analyze the long-term clinico-hemodynamic features and arterial hypertension outcomes in stroke survivors.
- To differentiate outcomes between hypertensive disease and atherosclerotic hypertension post-stroke.
- To identify factors influencing lethality and repeated strokes in the post-stroke period.
Summary:
- Minimal lethality observed in the first 3 years post-stroke, coinciding with hyperkinetic circulation.
- Increased mortality in hypertensive disease patients after 4-5 years linked to cardiac pathology (rhythm disorders, insufficiency).
- Atherosclerotic hypertension patients experienced regressive hypertension and no increased stroke/infarction recurrence post-stroke.
Impact:
- Provides insights into differential long-term prognoses based on hypertension type after stroke.
- Highlights the critical role of cardiac health monitoring in hypertensive disease patients post-stroke.
- Suggests potential for better risk stratification and management strategies for stroke survivors.
Abstract:
Clinico-hemodynamic features as well as arterial hypertension outcome in 92 patients with hypertensive disease accompanied by atherosclerosis and atherosclerotic hypertension, who had suffered acute stroke in arteria caroticus interna areas 0.5-19 years before were followed up for 6 years. The minimal number of lethal outcomes fell within the first 3 years after stroke when hyperkinetic circulation was seen in all the patients. The lethality increase caused by repeated strokes (4-5 years after the first stroke was connected with gradual development of cardiac muscle pathology manifested by cardiac rhythm disorders or coronary and cardiac insufficiency in the patients with hypertensive disease in conjunction with atherosclerosis. Regressive course of arterial hypertension occurred in the patients with atherosclerotic hypertension 2 years after stroke. The frequency of repeated strokes did not increase in these patients. The lethality caused by cardiac muscle infarction was not increasing in the post-stroke period.