Einflussfaktoren auf die effektive blutdruckeinstellung im rahmen der sekundären schlaganfallprophylaxe

Translated title of the contribution: Factors influencing secondary preventive blood pressure control in hypertensive stroke patients

K. Spengos, Georgios Tsivgoulis, E. Manios, N. Zakopoulos, V. Zis, K. Vemmos

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background. More than half of patients with documented hypertension surviving cerebrovascular events do not have their blood pressure (BP) controlled, despite the use of antihypertensive medication. Data on the possible reasons for poor BP control in stroke survivors are limited. Methods. We evaluated prospectively parameters influencing the effectiveness of BP control in hypertensive stroke survivors who were followed up. Results. At 3 months after stroke BP was effectively controlled in only 38.8% of patients. Diabetes mellitus had a negative influence on the effectiveness of antihypertensive medication by reducing significantly the chance of achieving a significant BP reduction, while patients suffering from coronary artery disease had an increased chance of getting their BP under control within 3 months after stroke onset. Diuretic medication was found to be an independent positive predictor for effective antihypertensive control. Combined therapy including diuretics was significantly more effective than antihypertensive monotherapy. Conclusions. Arterial pressure control in stroke survivors is poor. Risk factor profile, manifest heart disease, and the chosen antihypertensive medication are factors of prognostic relevance for effective BP control.

Original languageGerman
Pages (from-to)438-442
Number of pages5
JournalDer Nervenarzt
Volume76
Issue number4
DOIs
StatePublished - Apr 2005
Externally publishedYes

Fingerprint

Stroke
Blood Pressure
Antihypertensive Agents
Survivors
Diuretics
Coronary Artery Disease
Heart Diseases
Diabetes Mellitus
Arterial Pressure
Hypertension
Therapeutics

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Psychiatry and Mental health
  • Neurology

Cite this

Einflussfaktoren auf die effektive blutdruckeinstellung im rahmen der sekundären schlaganfallprophylaxe. / Spengos, K.; Tsivgoulis, Georgios; Manios, E.; Zakopoulos, N.; Zis, V.; Vemmos, K.

In: Der Nervenarzt, Vol. 76, No. 4, 04.2005, p. 438-442.

Research output: Contribution to journalArticle

Spengos, K. ; Tsivgoulis, Georgios ; Manios, E. ; Zakopoulos, N. ; Zis, V. ; Vemmos, K. / Einflussfaktoren auf die effektive blutdruckeinstellung im rahmen der sekundären schlaganfallprophylaxe. In: Der Nervenarzt. 2005 ; Vol. 76, No. 4. pp. 438-442.
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