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KMID : 0648320080140020007
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Journal of The Korean Society of Hypertension
2008 Volume.14 No. 2 p.7 ~ p.13
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Probability for Stroke in Hypertensive Patients in Private Clinics
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Park Chang-Gyu
Choi Cheol-Ung
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Abstract
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Background : Hypertension is the most important single modifiable risk factor of stroke. The purpose of this study was to investigate the distribution patterns of risk factors of stroke and 10-year probability of stroke in hypertensive patients visiting private clinics.
Methods : A total 1,088 hypertensive patients who visited at 61 private clinics were enrolled. Risk factors of stroke were evaluated using a series of laboratory tests and physical examinations, and the 10-year probability of stroke was determined by applying the Framingham stroke risk equation.
Results : The proportion of patients who have uncontrolled hypertension despite use of antihypertensive was 63.3 % (59.6 % women, 68.7 % men, p=0.006). The average 10-year probability of stroke in hypertensive patients was 16.05 % (14.68 % women, 17.99% men, p<0.001). The 10-year risk of stroke in hypertensive patients was approximately 1.7 times higher than that of stroke in general population.
Conclusions : Since the 10-year risk of stroke in hypertensive patients was approximately 1.7 times higher than that of stroke in general population, more aggressive interventions are needed to reduce blood pressure and stroke risk in hypertensive patients.
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KEYWORD
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Framingham risk score, hypertension, stroke, antihypertensive
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