FREQUENCY OF HYPERTENSION IN STROKE PATIENTS PRESENTING AT AYUB TEACHING HOSPITAL
AbstractBackground; Stroke is a frequent medical problem occurring in patients with hypertension andother risk factors. The objective of this study was to find the frequency of hypertension asimportant risk factor in stroke patients presenting at Medical 'B' unit of Ayub Teaching Hospital,Abbottabad from November 2003 to January 2005. Methods: Patients who clinically presentedwith features of stroke and then confirmed on C.T scan were included in this study. Otherunderlying risk factors were diabetes mellitus, smoking, cardiovascular disease and dyslipidemia.Result: Hypertension was found to be the most common risk factor in current study. Out of 91cases, 51 (56.04%) were suffering from hypertension. Thirty five patients were male and sixteenpatients were female. Peak stroke prone age was 61-70 years in males and 51-60 years in females.Conclusion: Hypertension is the leading risk factor of stroke. It is therefore essential to detect andtreat hypertension at its outsetKeywords: Stroke, Hypertension, Risk factors, CT scan
Park JE, Park K. Stroke: Textbook of Preventive and Social
Medicine. 15th ed. Jabalpur. M/S Banarsidas Bhanot
Publisher, 1995: 245-46
Ali L, Jamil H, Shah M.A. Risk factors and stroke. J Coll
Phys Surg Pak 1997; 7(1):7-10.
Ralph SL. Pathogenesis, classification and epidemiology of
cerebrovascular disease. In: Lewis P, Rowland, eds Merit’s
Textbook of Neurology. 9th ed. Baltimore. Williams and
Guieb M, Perez MC. Epidemiologic assessment of stroke.
MMC Proceedings 1998; (11):48-52.
National Health Survey of Pakistan 1990-94. Pakistan
Medical Research Council Islamabad, Pakistan1998.
Hugh S Markus. Stroke; Causes and clinical features.
Medicine International 2005, 5 (1): 36-40
He J, Klag MJ, Wu Z, Whelton PK. Stroke in peoples
Republic of China II. Metanaylsis of Hypertension and risk
of stroke. Stroke 1995 Dec; 26(12):2228-32
Thrift AG, Mc Neil JJ, Forbes A, Donnan GA, Risk factors
for cerebral hemorrhage in the era of well controlled
hypertension. Melbourne Risk Factor Study (MERFS)
Group. Stroke 1996; 27 (11): 2020-5
Factors important in arterial narrowing. Schwartz S.M;
Reidy M.A et all J Hyperten Suppl. 1996; 14(5): S71-81.
Aho K, Harmsen P, Hateno S, Maarqyardsen T, Smirnov
VE, Strasser T. On behalf of the participants in the W.H.O
collaborative study on control of stroke in the community.
Cerebrovascular diseases in the community results of the
W.H.O collaborative study. Bulletin of W.H.O, 1998; 58:
Matenga J, Kitai I, Levy L. Stroke among black people in
Harare, Zimbabwe. Results of computer tomography and
associated risk factors. Br. Med J Clin Res Ed, 1986;292:
J Ayub Med Coll Abbottabad 2006;18(1)
Fayyaz M, Hassan MA, Attique MUH. Risk and early
prognosis in Stroke. Annals 1999;5(1):12-15
Vohra EA, Ahmad WU, Ali M. Etiology and Prognostic
Factors of Patients Admitted for Stroke. J Pak Med Assoc
Khawaja I, Shakoor Z. Hypertension is a major factor in men 2000;50(7):234-6
and women of all ages. JPIMS 1993; 4, (1): 191-194. 17. Bornstien NM, Aronovick BD, Karepov VG, Traves TA,
Oved M, Kerczyn AD. The Tel Aviv Stroke Registry. 3600
consective patients. Stroke 1996;27(10): 1770-3
Al Rajeh S, Adnan A, Gulzar N, Emmanuel L. Stroke in a
Saudi Arabian National Guard community; analysis of 500
consecutive cases from a population based hospital. Stroke
Shuaib A, Boyle C. Stroke in the elderly. Curr-Opin-Neurol.
: 7(1): 41-71.
Broderick J, Brott T, Basan W, Haley EC, Levy D, Marler J,
Sheppard G. Blum C. Blood pressure in the first minutes of
focal cerebral ischemia. Ann Emerg Med 1993;22:1438-43.