| Awareness, treatment, and control of vascular risk factors among stroke survivors. | |
| | |
MedLine Citation:
|
PMID: 20472464 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: Stroke survivors should recognize and control vascular risk factors to prevent recurrent strokes. We therefore assessed the prevalence, treatment, and control of hypertension, diabetes, and dyslipidemia among stroke survivors versus stroke-free control subjects. METHODS: We conducted cross-sectional analysis from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study cohort, which includes oversampling from the Stroke Belt and African Americans. Patients were interviewed by telephone then visited for blood pressure, glucose, and lipid measurements. There were 2830 participants reporting a past stroke or transient ischemic attack (TIA) (stroke survivors) and 24,886 participants without past stroke or TIA (control subjects). Outcome measures included the recognition, treatment, and control of hypertension, diabetes, and dyslipidemia. RESULTS: Stroke survivors were more likely to have unrecognized hypertension (18.7% v 13.5%, P < .0003), unrecognized stage 2 hypertension (4.4% v 2.2%, P < .0006), and unrecognized diabetes (4.2% v 3.2%, P < .026) versus control subjects. Stroke survivors were more likely to be treated for hypertension (92.4% v 89.0%, P < .0001), diabetes (88.3% v 81.4%, P < .0001), and dyslipidemia (76.3% v 61.9%, P < .0001). However, despite treatment, stroke survivors were more likely to have hypertension (33.3% v 30.4%, P=.0074) and stage 2 hypertension (9.1% v 7.6%, P=.017). Predictors of unrecognized and undertreated risk factors in stroke survivors include increasing body mass index, black race, and lower education. CONCLUSION: Despite having a past stroke or TIA, stroke survivors had higher rates of unrecognized hypertension, unrecognized diabetes, and undertreated hypertension. Better efforts are needed to help stroke survivors recognize and control vascular risk factors to prevent recurrent stroke. |
| | |
Authors:
|
David A Brenner; Rich M Zweifler; Camilo R Gomez; Brett M Kissela; Deborah Levine; George Howard; Bruce Coull; Virginia J Howard |
Related Documents
:
|
2407494 - Perindopril safety and tolerance in at-risk patients. 18547134 - Olmesartan medoxomil: a review of its use in the management of hypertension. 15960144 - Lower serum magnesium levels are associated with more rapid decline of renal function i... 9056694 - Hypertension, diabetes mellitus, and insulin resistance: the role of intracellular magn... 15793264 - A single nucleotide polymorphism in mgea5 encoding o-glcnac-selective n-acetyl-beta-d g... 6730924 - Spiral artery lesions in relation to metabolic control in diabetes mellitus. |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S. Date: 2010-05-15 |
Journal Detail:
|
Title: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association Volume: 19 ISSN: 1532-8511 ISO Abbreviation: J Stroke Cerebrovasc Dis Publication Date: 2010 Jul-Aug |
Date Detail:
|
Created Date: 2010-07-08 Completed Date: 2010-10-08 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9111633 Medline TA: J Stroke Cerebrovasc Dis Country: United States |
Other Details:
|
Languages: eng Pagination: 311-20 Citation Subset: IM |
Copyright Information:
|
Copyright (c) 2010 National Stroke Association. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham, Mobile, Alabama, USA. dbrenner@uab.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
African Americans Aged Aged, 80 and over Diabetes Mellitus, Type 2 / epidemiology*, therapy Dyslipidemias / epidemiology*, therapy European Continental Ancestry Group Female Health Knowledge, Attitudes, Practice* Humans Hypertension / epidemiology*, therapy Longitudinal Studies Male Middle Aged Prevalence Risk Factors Stroke / epidemiology, prevention & control* Survivors* |
| Grant Support | |
ID/Acronym/Agency:
|
U01 NS041588/NS/NINDS NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A simple electrocardiogram marker for risk stratification of ischemic stroke in low-resources settin...
Next Document: Sulcal Artery Syndrome after Vertebral Artery Dissection.