• 作者：José ; Abellá ; n Alemá ; n ; ^{jabellan@pdi.ucam.edu} ; Luis Miguel Ruilope Urioste ; Mariano Leal Herná ; ndez ; Pedro Armario Garcí ; a ; Gregorio Tiberio Ló ; pez ; Nieves Martell Claros
• 关键词：Ictus ; Control ; Factores de riesgo cardiovascular ; Atenció ; n Primaria
• 刊名：Medicina Cl¨ªnica
• 出版年：2011
• 出版时间：26 March 2011
• 年：2011
• 卷：136
• 期：8
• 页码：329-335
• 全文大小：257 K

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.