[Control of cardiovascular risk factors in patients with stroke attended in primary care in Spain. ICTUSCARE study].
| Autor: | Abellán Alemán J; Universidad Católica de Murcia, Cátedra de Riesgo cardiovascular, Murcia, España. jabellan@pdi.ucam.edu, Ruilope Urioste LM, Leal Hernández M, Armario García P, Tiberio López G, Martell Claros N |
|---|---|
| Jazyk: | Spanish; Castilian |
| Zdroj: | Medicina clinica [Med Clin (Barc)] 2011 Mar 26; Vol. 136 (8), pp. 329-35. Date of Electronic Publication: 2011 Feb 22. |
| DOI: | 10.1016/j.medcli.2010.04.035 |
| Abstrakt: | Background: The aim of this cross-sectional, multicenter survey was: 1) To investigate the level of control of cardiovascuar risk factors in patients with a previous stroke. 2) To know the pharmacological therapy used to attain the control. Patients and Methods: Data obtained from a total of 955 patients were included in the analysis.. There were evaluated cardiovascular risk factors, parameters related to the degree of control, analytical parameters, antropometric and pharmacological indicated treatment. Results: The majority (61%) had suffered an ischemic stroke and 97.7% presented at least one associated cardiovascular risk factor, being hypertension (84.8%) and dyslipidemia (61.8%) the most frequent. Other factors were abdominal obesity (42.9%), diabetes mellitus (35.6%) and smoking (25.1%). Only 1.2% of the patients presented an adequate control of all cardiovascular risk factors. Only 17.6% had a well controlled blood pressure and in 29.8% LDL-cholesterol was well controlled. In 50.2% of diabetic patients HbA1c was well controlled. Angiotensin receptor blockers were the most widely used antihypertensive drugs (57.6%) while thiazide diuretics were prescribed in 33.4%. Statins were prescribed in 72.8% of patients and metformin, aspirin and acenocumarol in 30.2%, 57.3%, and 15.0% respectively. Conclusions: In conclusion, in patients with a past history of stroke arterial hypertension is the most common cardiovascular risk factor and the control of these factors requires an improvement. (Copyright © 2009 Elsevier España, S.L. All rights reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|