How well are hypertension, hyperlipidemia, diabetes, and smoking managed after a stroke or transient ischemic attack?
GROUND AND PURPOSE: Stroke prevention clinics (SPCs) are not usually involved with the active management of hypertension, hyperlipidemia, diabetes, and smoking. The effect of consultations generated at SPCs on the adequacy of the management of these risk factors for stroke has not been well described, and few studies have long-term follow-up. METHODS: We performed a prospective study of 119 consecutive patients referred to an SPC for secondary prevention. One year after their baseline visit, patients were re-evaluated for the adequacy of the management of the above risk factors, and the proportion of improvement was assessed. RESULTS: One-hundred twelve patients returned for their 1-year follow-up visit. Sixty-six were male, and the average age was 65 years. Hypertension was present in 83 patients, hyperlipidemia in 92, diabetes in 26, and smoking in 38, and 80 had multiple risk factors. At baseline, 66% of patients with hypertension, 17% of patients with hyperlipidemia, and 23% of dia
Related Questions
- How well are hypertension, hyperlipidemia, diabetes, and smoking managed after a stroke or transient ischemic attack?
- Is there a decline in the vascular event rate after transient ischemic attack or stroke in antiplatelet trials?
- Is admission medically justified for all patients with acute stroke or transient ischemic attack?
