-
14
Feb -
STROKE PATIENTS WITH AND WITHOUT HYPERTENSION: RESULTS
- With 0 comments
Demographic and Cardiovascular Factors (Table 1)
The mean age of hypertensive and non-hypertensive patients was 62.3 ± 10.4 and 59.1 ± 12.5 years (p=0.064), respectively. Women comprised 54% of the hypertensive and 41% of the non-hypertensive patients (p=0.030). The mean education of hypertensives was 11.1 ±3.1 compared to 11.7 ± 2.9 of non-hypertensives (p=0.024). A history of diabetes was identified in 41% and 25% of patients with and without htn, respectively (p=0.007). 41% of the hypertensives were classified as having a history of hypercholesterolemia compared to 32% of non-hypertensives (p=0.19). Of the 1012 patients identified as having htn, 11% had suffered a previous myocardial infarction compared to 8% of non-hypertensives (p=0.51); 13% of hypertensives compared with 7% of non-hypertensives had angina pectoris (p=0.13); 6% vs. 1% had a diagnosis of congestive heart failure (p=0.18); 2% vs. 0% had a history of atrial fibrillation (p=0.62); 2% vs. 4% had valvular heart disease (p=0.23) and 5% vs. 5% had leg claudication (p=0.77); 4% of hypertensives vs. 3% of non-hypertensives had previous cardiac surgery (p=0.74); and 1% vs. 0% had previous carotid endarterectomy (p=1.00). Peripheral arterial vascular surgery and thoracic or abdominal surgery was noted among 2% vs. 0% and 3% vs. 1% of hypertensive and non-hypertensive patients, respectively (p=0.39, 1.00). Some 37% of hypertensive vs. 41% of non-hypertensive patients exercised at least two times per week and enough to work up a sweat (p=0.49), and 41% vs. 38% had a family history of stroke (p=0.32).
Cigarette smoking was classified as never in 38%, former smoker in 25% and current in 37% of hypertensive patients, while non-hypertensives were classified as 20%, 24% and 55%, respectively (p=0.001). Of the hypertensive patients, 89% reported no or occasional alcohol use; 7% reported regular or daily use; and 3% reported heavy use compared to 85%, 14% and 1%, respectively, in the non-hypertensive group (p=0.21). 26% of hypertensives and 18% of non-hypertensives had a previous history of stroke (p=0.13). 8% vs. 8% of patients in the two groups had a previous history of TIA (p=0.95). canadian pharmacy viagra
Table 1. DEMOGRAPHICS AND CARDIOVASCULAR FACTORS AMONG HYPERTENSIVES AND NON-HYPERTENSIVESa
| Factor | Hypertensives | Non-hypertensives | P-value |
| (n=1012) | (n=74) | ||
| Age (yrs) | 0.064* | ||
| Mean | 62.3 ± 10.4 | 59.1 ± 12.5 | |
| Median | 62 | 59 | |
| Range | 33-85 | 28-79 | |
| Women | 543 (54) | 30 (41) | 0.030 |
| Mean Household Income | 0.20 | ||
| <$5,000 | 160 (16) | 9(11) | |
| $5,000 – $9,999 | 222 (22) | 10 (14) | |
| $10,000 – $14,999 | 122 (12) | 8(11) | |
| $15,000 – $19,999 | 62 (6) | 2(3) | |
| $20,000 – $29,999 | 87 (9) | 10 (14) | |
| $30,000 – $39,999 | 56 (6) | 6(8) | |
| $40,000 – $49,999 | 38 (4) | 6(8) | |
| $50,000 – $99,999 | 41 (4) | 5(7) | |
| >$100,000 | 7(1) | 0(0) | |
| Unknown | 217 (22) | 18 (25) | |
| Education (yrs) | 0.024 | ||
| Mean | 11.1 ± 3.1 | 11.7 ± 2.9 | |
| Median | 12 | 12 | |
| Range | 0-23 | 3-18 | |
| Body Mass Index | 29.9 ± 7 | 28.3 ± 5.6 | 0.15 |
| Diabetes mellitus | 407 (41) | 18 (25) | 0.007 |
| Hypercholesterolemia | 365 (41) | 22 (32) | 0.19 |
| Myocardial infarction | 106 (11) | 6(8) | 0.51 |
| Angina Pectoris | 129 (13) | 5(7) | 0.13 |
| Congestive heart | 58 (6) | 1 (D | 0.18 |
| failure | |||
| Atrial fibrillation | 16(2) | 0(0) | 0.62 |
| Valvular heart disease | 22 (2) | 3(4) | 0.23 |
| Leg Claudication | 46 (5) | 4(5) | 0.77 |
| Cardiac surgery | 44 (4) | 2(3) | 0.74 |
| Carotid Endarterectomy | 7(1) | 0(0) | 1.00 |
| Peripheral Arterial | 22 (2) | 0(0) | 0.39 |
| Vascular Surgery | |||
| Thoracic/Abdominal | 26 (3) | 1 (D | 1.00 |
| Aortic Surgery | |||
| Leisure exercise | 370 (37) | 30 (41) | 0.49 |
| Family History Stroke | 417 (41) | 28 (38) | 0-32 „ |
| Cigarette Smoking | 0.001 | ||
| Never | 380 (38) | 15 (20) | |
| Former smoker | 255 (25) | 18 (24) | |
| Current | 377 (37) | 41 (55) | |
| Alcohol Consumption | 0.21 | ||
| None/occasional | 904 (89) | 62 (85) | |
| Regular/daily | 75 (7) | 10 (14) | |
| Heavy | 28 (3) | 2(1) | |
| History of Stroke | 258 (26) | 13 (18) | 0.13 |
| History of TIA | 79 (8) | 6(8) | 0.95 |
MRI-Based Infarcts (Table 2)
Non-hypertensives had a lower mean number of old infarcts on MRI (0.94 ± 1.40 vs. 1.45 ± 1.60; p=0.045), while there was no difference in the number of recent infarcts between the two groups (1.31 ± 1.07 vs. 1.31 ± 0.93; p=0.73).
silagra tablets
Table 2. COMPARISON OF MRI-BASED INFARCTS AMONG HYPERTENSIVES AND NON-HYPERTENSIVES
| Factor | Hypertensives | Non-hypertensives | P value |
| (n=487) | (n=32) | ||
| Recent Infarction | |||
| Mean | 1.31 ± 1.07 | 1.31 ± 0.93 | 0.73 |
| Median | 1 | 1 | |
| Range | 0-6 | 0-4 | |
| Old Strokes | 0.045 | ||
| Mean | 1.45 ± 1.60 | 0.94 ± 1.40 | |
| Median | 1 | 0 | |
| Range | 0-8 | 0-5 |
CT-Based Infarcts (Table 3)
| Factor | Hypertensives | Non-hypertensives |
P-value |
| (n=576) | (n=37) | ||
| Recent Infarction | |||
| Mean | 0.93 ± 1.01 | 1.30 ± 1.15 |
0.031 |
| Median | 1 | 1 | |
| Range | 0-6 | 0-5 | |
| Old Strokes |
0.078 |
||
| Mean | 1.13 ± 1.29 | 0.84 ±1.21 | |
| Median | 1 | 0 | |
| Range | 0-9 | 0-4 |
Non-hypertensives had a trend for lower mean number of old infarcts on CT (0.84 ± 1.21 vs. 1.13 ± 1.29; p=0.078), while hypertensives had a lower mean number of recent infarcts (0.93 ± 1.01 vs. 1.30 ± 1.15;p=0.031).
Table 3. COMPARISON OF CT-BASED INFARCTS AMONG HYPERTENSIVES AND NON-HYPERTENSIVES
Stroke Subtypes and Stroke Syndromes (Table 4)
Stroke subtypes were classified as large vessel in 21%, lacunar in 66% and acute ischemic of unknown cause in 13% of hypertensive patients, while non-hypertensives were classified as 19%, 58% and 23% for these subtypes, respectively (p=0.060). There was no difference in the frequency of stroke syndromes classified as major hemispheral (15% vs. 15%), minor hemispheral (8% vs. 11%), deep hemispheric (62% vs. 51%) and brainstem/cerebellar (14% vs. 23%) (p=0.15).
buy prescription drugs without prescription
Table 4. COMPARISON OF STROKE SUBTYPES AND STROKE SYNDROMES ACCORDING TO TOAST CRITERIA8
| Stroke Subtypes/ | Hypertensives | Non-hypertensives | P value |
| Stroke Syndromes | (n=1012) |
(n=74) |
|
| Large vessel | 208 (21) |
14 (19) |
0.060 |
| Lacunar | 671 (66) |
43 (58) |
|
| Acute ischemic of | 133 (13) |
17 (23) |
|
| unknown cause | |||
| Major hemispheral | 154 (15) |
11 (15) |
0.15 |
| Minor hemispheral | 82 (8) |
8(11) |
|
| Deep hemispheric | 630 (62) |
38 (51) |
|
| Brainstem/cerebellar | 146 (14) |
17 (23) |
Multivariate Analysis (Table 5)
Logistic regression showed that the non-hypertensive African-American enrollees were more likely to be current cigarette smokers (OR=2.89, CI=1.60,5.49) and have slightly higher education (OR=1.08, CI=0.996,1.17) but less likely to have old CT/MRI-based infarcts (OR=0.46, CI=0.26,0.76). tadacip 20 mg
Table 5. LOGISTIC REGRESSION ANALYSIS OF PREDICTORS OF ASSOCIATION FOR NON-HYPERTENSIVE STATUS
| Factor | Odds Ratio (95% Confidence Interval) |
| Absence of history of: | |
| CT/MRI-based Infarcts (old) | 0.46 (0.26, 0.76) |
| Current cigarette smokers | 2.89 (1.60, 5.49) |
| Education (in years) | 1.08 (0.996, 1.17) |



