Arterial hypertension – a risk factor for sudden vascular stroke

Authors: Ľudovít Gašpar 1;  Andrea Komorníková 1;  Veronika Vestenická 2
Authors‘ workplace: I. Interná klinika LF UK a UNB, Bratislava 1;  I. neurologická klinika LF UK a UNB, Bratislava 2
Published in: AtheroRev 2018; 3(1): 18-20
Category: Reviews


Strokes are among the most common causes of morbidity and mortality, and in individuals who suffered stroke, subsequent long-term neurological deficit in a larger or smaller range is also an important factor. Numerous clinical and epidemiological studies have confirmed that elevated systemic blood pressure values are among the major risk factors for both ischemic and haemorrhagic stroke, and the effect of arterial hypertension is complex with morphological and functional vascular changes and changes in vascular cerebral circulation. In our retrospective analysis of 104 patients hospitalized for stroke, we found the presence of arterial hypertension in 92.3 % and atrial fibrillation in 32.7 %. 88 persons of our cohort (84.6 %) had been diagnosed with ischemic stroke and 16 persons of our cohort (15.4 %) with haemorrhagic stroke. In the group of patients with atrial fibrillation, only 14 patients (41.2 %) were treated by anticoagulant, what points out an inadequate indication of anticoagulant treatment when considering the stroke risk calculation for atrial fibrillation (CHA2DS2-VASc Score) and bleeding risk (HAS-BLED Calculator for Atrial Fibrillation). It is also noteworthy that in the group of patients with anticoagulant therapy who have evolved ischaemic stroke in spite of this treatment, we found that in 53.8 % the treatment was underdosed and therefore ineffective. Our work points to the need to improve the effective management of arterial hypertension and atrial fibrillation, the most common influencing factors of strokes.

Key words:
anticoagulant therapy, arterial hypertension, atrial fibrillationk main risk factors of stroke, stroke

28. 11. 2017

18. 12. 2017


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Angiology Diabetology Internal medicine Cardiology General practitioner for adults
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