Patterns and Predictors of Blood Pressure Treatment, Control, and Outcomes among Stroke Survivors in the United States

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Ali RazmaraAmytis Towfighi

Abstract

Expert consensus guidelines recommend antihypertensive treatment to lower secondary stroke risk, but patterns and predictors of blood pressure (BP) treatment and control among stroke survivors in the United States remain unknown. Understanding predictors of poor control can facilitate development of targeted strategies. We reviewed the prevalence and control of hypertension among adults 40 years or older with self-reported stroke who participated in the National Health and Nutrition Examination Surveys 1999-2004 with mortality follow-up through 2006. Predictors of poorly controlled BP (>140/90 mm Hg) and nontreatment were determined via logistic regression. Independent association between antihypertensive use and mortality was determined using Cox models. Among 9145 participants, 490 reported previous stroke; 72% had known hypertension, 8% had undiagnosed hypertension, and 47% had poorly controlled BP. In multivariable analyses, age (odds ratio [OR] per year 1.06, 95% confidence interval [CI] 1.03-1.09), female sex (OR 1.70, 95% CI 1.12-2.57), non-Mexican Hispanic ethnicity (OR 4.54, 95% CI 1.76-11.70), black race (OR 3.15, 95% CI 1.59-6.25), hypercholesterolemia (OR 2.46, 95% CI 1.44-4.21), and diabetes (OR 1.96, 95% CI 1.16-3...Continue Reading

References

Aug 1, 1995·Stroke; a Journal of Cerebral Circulation·P G O'MahonyR G Thomson
Jul 8, 2000·Stroke; a Journal of Cerebral Circulation·T EngstadM Viitanen
Sep 29, 2001·Aging & Mental Health·R D HornerD G Blazer
Oct 25, 2003·Stroke; a Journal of Cerebral Circulation·Parveen RashidPhilip Bath
Oct 3, 2009·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Lisheng LiuJiguang Wang
Mar 17, 2010·The New England Journal of Medicine·William C CushmanFaramarz Ismail-Beigi
May 18, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·David A BrennerVirginia J Howard
Jul 8, 2010·JAMA : the Journal of the American Medical Association·Rhonda M Cooper-DeHoffCarl J Pepine
Jan 26, 2011·Journal of Cardiovascular Disease Research·Manuel MorgadoMiguel Castelo-Branco
Jul 29, 2011·Annals of Neurology·Meng LeeBruce Ovbiagele
Nov 18, 2011·JAMA : the Journal of the American Medical Association·Bruce OvbiageleUNKNOWN PROFESS Investigators
Jan 17, 2012·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Bruce Ovbiagele
Mar 2, 2012·Circulation·Stacie L DaughertyP Michael Ho
Nov 13, 2012·European Heart Journal·Dharam J KumbhaniUNKNOWN REACH Registry Investigators
Nov 12, 2013·The American Journal of Medicine·Sripal BangaloreUNKNOWN Treating to New Targets Steering Committee and Investigators
Nov 19, 2013·JAMA : the Journal of the American Medical Association·Jiang HeUNKNOWN CATIS Investigators
Mar 29, 2014·Stroke; a Journal of Cerebral Circulation·Amytis TowfighiBruce Ovbiagele
May 3, 2014·Stroke; a Journal of Cerebral Circulation·Walter N KernanUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and
Jul 6, 2014·Stroke; a Journal of Cerebral Circulation·Andrea D BoanBruce Ovbiagele

❮ Previous
Next ❯

Citations

Feb 2, 2018·Circulation·Emelia J BenjaminUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Oct 27, 2020·Stroke; a Journal of Cerebral Circulation·Amytis TowfighiBruce Ovbiagele
Feb 16, 2021·JAMA Network Open·Amytis TowfighiUNKNOWN Secondary Stroke Prevention by Uniting Community and Chronic Care Model Teams Early to End Disparities (SUCCEED) Investigato
Jul 16, 2021·Stroke; a Journal of Cerebral Circulation·Walter N KernanUNKNOWN American Heart Association Stroke Council; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiova

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.