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Cardiovascular risk in survivors of stroke

Cardiovascular risk in survivors of stroke
Cardiovascular risk in survivors of stroke
Background: stroke survivors are at significant risk for recurrent stroke and cardiovascular disease. Inadequately managed modifiable risk factors increase the threat of recurrent stroke, development of new comorbidities, and double the risk of premature mortality. The purpose of this study was to determine the prevalence of modifiable cardiovascular risk factors in stroke survivors who completed a research screening evaluation for entry into exercise rehabilitation studies. The sample collected between January 2001 and June 2005 evaluated 364 community-dwelling men and women aged 34 to 88 years living in Baltimore, Maryland.

Methods: each participant’s risk profile was evaluated from data obtained during a medical history and physical examination and from laboratory analysis of a fasting blood sample. Current practice guidelines were used to define risk categories.

Results: ninety-nine percent of participants had at least one suboptimally controlled risk factor. Ninety-one percent had two or more concurrent risk factors inadequately treated. Eighty percent of the participants had prehypertension or hypertension, 67% were overweight or obese, 60% had suboptimal low-density lipoprotein, 45% had impaired fasting glucose, 34% had low high-density lipoprotein, and 14% were current smokers, while reportedly receiving routine medical care.

Conclusions: these findings confirm that cardiovascular risk factors remain inadequately managed in stroke survivors, increasing the chance for repeat stroke and cardiovascular event. Systematic assessment of this vulnerable population is imperative at every healthcare encounter
0749-3797
408-412
Kopunek, Susan P.
ebbe752f-c2c2-4de7-9293-344e4a291e6f
Michael, Kathleen M.
2fbac2cb-b68f-4ba5-8893-77a85c752782
Shaughnessy, Marianne
08260ac3-5041-4c44-a42b-3c513064f851
Resnick, Barbara
4459b5b6-590c-4202-9525-4aee03c2de0a
Nahm, Eun-Shim
0be1278e-744b-4ba2-9aba-fd70fe82f84a
Whitall, Jill
9761aefb-be80-4270-bc1f-0e726399376e
Goldberg, Andrew
8f0327b9-19b2-4ca7-a8e1-68cc0458c55c
Macko, Richard F.
facb5e9c-e881-4d59-90d4-1a41509db2fe
Kopunek, Susan P.
ebbe752f-c2c2-4de7-9293-344e4a291e6f
Michael, Kathleen M.
2fbac2cb-b68f-4ba5-8893-77a85c752782
Shaughnessy, Marianne
08260ac3-5041-4c44-a42b-3c513064f851
Resnick, Barbara
4459b5b6-590c-4202-9525-4aee03c2de0a
Nahm, Eun-Shim
0be1278e-744b-4ba2-9aba-fd70fe82f84a
Whitall, Jill
9761aefb-be80-4270-bc1f-0e726399376e
Goldberg, Andrew
8f0327b9-19b2-4ca7-a8e1-68cc0458c55c
Macko, Richard F.
facb5e9c-e881-4d59-90d4-1a41509db2fe

Kopunek, Susan P., Michael, Kathleen M., Shaughnessy, Marianne, Resnick, Barbara, Nahm, Eun-Shim, Whitall, Jill, Goldberg, Andrew and Macko, Richard F. (2007) Cardiovascular risk in survivors of stroke. American Journal of Preventive Medicine, 32 (5), 408-412. (doi:10.1016/j.amepre.2007.01.021).

Record type: Article

Abstract

Background: stroke survivors are at significant risk for recurrent stroke and cardiovascular disease. Inadequately managed modifiable risk factors increase the threat of recurrent stroke, development of new comorbidities, and double the risk of premature mortality. The purpose of this study was to determine the prevalence of modifiable cardiovascular risk factors in stroke survivors who completed a research screening evaluation for entry into exercise rehabilitation studies. The sample collected between January 2001 and June 2005 evaluated 364 community-dwelling men and women aged 34 to 88 years living in Baltimore, Maryland.

Methods: each participant’s risk profile was evaluated from data obtained during a medical history and physical examination and from laboratory analysis of a fasting blood sample. Current practice guidelines were used to define risk categories.

Results: ninety-nine percent of participants had at least one suboptimally controlled risk factor. Ninety-one percent had two or more concurrent risk factors inadequately treated. Eighty percent of the participants had prehypertension or hypertension, 67% were overweight or obese, 60% had suboptimal low-density lipoprotein, 45% had impaired fasting glucose, 34% had low high-density lipoprotein, and 14% were current smokers, while reportedly receiving routine medical care.

Conclusions: these findings confirm that cardiovascular risk factors remain inadequately managed in stroke survivors, increasing the chance for repeat stroke and cardiovascular event. Systematic assessment of this vulnerable population is imperative at every healthcare encounter

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More information

Published date: May 2007
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 361422
URI: http://eprints.soton.ac.uk/id/eprint/361422
ISSN: 0749-3797
PURE UUID: 56ef17a5-db81-43f0-b584-4efd40ec2647

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Date deposited: 20 Jan 2014 13:42
Last modified: 16 Jul 2019 21:13

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Contributors

Author: Susan P. Kopunek
Author: Kathleen M. Michael
Author: Marianne Shaughnessy
Author: Barbara Resnick
Author: Eun-Shim Nahm
Author: Jill Whitall
Author: Andrew Goldberg
Author: Richard F. Macko

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