engleski

A Comparison of Frequency of Arterial Hypertension in Patients with Different Types of Acute Stroke During a Five-Year Period in the Osijek area

Aim: To determine whether there exists a difference in frequency of hypertension and other risk factors in patients suffering from various types and subtypes of stroke (S) in years 2004 and 2009. Methods: A group of 130 patients suffering from acute S in year 2004 was compared to a group of 100 patients with same disease in year 2009. In all patients, the diagnosis of S was determined using computed tomography of the brain, while other diagnostic procedures were performed as well. S was classified as hemorrhagic S (intracerebral hemorrhage and subarachnoid hemorrhage) and ischemic S which, according to TOAST classification, comprises large vessel S (LVS), small vessel S (SVS), cardioembolic S (CES), S of other determined etiology (OCS) and S of undetermined etiology (US). Results: Average age of patients increased from 67.3 in year 2004 to 70.5 in year 2009. Share of male patients also increased. In year 2004 there were 7 patients for which the subtype of S could not be precisely determined, while in 2009 there were no such patients. Frequency of arterial hypertension, which is one of the most important risk factors for S increased from 78% in year 2004 to 83% in year 2009. There was some increase in frequency of diabetes and atrial fibrillation as well, while the frequency of hyperlipidemia, smoking and myocardiopathies decreased. Conclusions: The research showed that arterial hypertension still is the most frequent and the most important risk factor for S. There is also high frequency of other common risk factors such as hyperlipidemia, diabetes, atrial fibrillation and smoking. All of this emphasizes the need for education and increased activity in the field of primary and secondary prevention of S.

stroke; arterial hypertension; risk factor; prevention

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