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- W2000596350 abstract "Objectives: Evaluate the prevalence of cerebrovascular disease and risk factors control in hypertensive population within the 6th Sanitary District of Madrid. Methods: Cross-sectional study of computerised medical case records of hypertensive patients with cerebrovascular disease and undergoing antihypertensive therapy who visited one of the 24 Primary Health Care Centres during 2008.The analysed variables were age, sex, smokers,obesity, history of dyslipidemia or diabetes,blood pressure(BP) levels and goals (<140/90 and <130/80 mmHg), previous diagnosis of cardiovascular, laboratory test and therapy. Results: From database of 92.069 patients, 4.684 were selected because previous diagnosis of stroke (5.1%) .45,7% were males, mean age 75.65 (11.4 years). 37% obese, 40% reached BP goals (<140/90mmHg) and 20% (<130/80mmHg.). 27% diabetics, 36.5% dyslipidaemia and 3.8% smokers.14% with LDL <100 mg/dl The 8,3% had heart failure, peripheral artery disease 3.3%, renal disease 7.3%, isquemic heart disease 14% and atrial fibrillation 15.6%. The therapy was: 41% diuretics,20% betablockers, 25% calcium antagonist,62% blocker of the renin-angiotensin system being of these 62% ACE inhibitors alone and 9% plus diuretics,19% angiotensin receptor antagonist alone and 9% plus diuretics. The 38% s were taking statins and 74% anti-platelet therapy being warfarin in 22%. Stroke patients were significatly and mostly females (54.3 vs 45.7%), older (76.6 vs 65.8), less obese (37 vs 63%), smoked less (3.8 vs 5.4%), controlled better their BP (40 vs 38% if 140/90mmHg. and 20 vs 15% if <130/80mmHg.), had less LDL (117.2 mg/dl vs 126.8 mg/dl) although only14% of stroke patients had LDL <100 mg/dl Conclusions: Stroke prevalence show similar results to previous ones with high associated cardiovascular comorbidity. The achievement of hypertension and dyislipidaemia goals has a lot of room for improvement as is the use of antiplatelet and anticoagulant therapy. It is desirable to improve the knowledge and diffusion of the objectives in the secondary prevention of stroke patients which will permit us to design specific strategies for its control." @default.
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- W2000596350 date "2010-06-01" @default.
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- W2000596350 title "STROKE PREVALENCE AND RISK FACTOR CONTROL IN HYPERTENSIVE PATIENTS: PP.4.149" @default.
- W2000596350 doi "https://doi.org/10.1097/01.hjh.0000378473.17198.92" @default.
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