STROKE PATIENTS WITH AND WITHOUT HYPERTENSION
African Americans (AAs) are at high risk of stroke and dying from stroke. Explanations for excess stroke risk among AAs include higher prevalence of cardiovascular risk factors, greater severity of risk factors or greater sensitivity to the risk factors, and lack of access to medical care. AAs have a disproportionate burden of many of the traditional or modifiable risk factors such as htn, diabetes mellitus, cigarette smoking and obesity. With regard to htn, even African American children may have higher blood pressures. In addition, AAs who enter stroke prevention trials may have a much higher frequency of htn than non-African American enrollees.
Because htn is an important stroke risk factor in AAs, we carried out a comparison of risk factors and CTVMRI-based infarcts among AAs with and without htn who enrolled in the African American Antiplatelet Stroke Prevention Study (AAASPS). Our aim was to determine if there were risk profile differences among hypertensive and non-hypertensive AAASPS patients. Such differences might predict differences in recurrent stroke rates or other important outcomes when the AAASPS concludes. cialis canadian pharmacy