Hypertension management and stroke recurrence in a community (Rochester, Minnesota, 1950-1979).

Hypertension management and stroke recurrence in a community (Rochester, Minnesota, 1950-1979).
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社区高血压管理和中风复发(明尼苏达州罗切斯特,1950-1979 年)。

DOI:
10.1161/01.str.19.4.459
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发表时间:
1988
期刊:
影响因子:
8.3
通讯作者:
Garraway,WM
Garraway,WM
中科院分区:
医学1区
文献类型:
--
作者:
Meissner,I;Whisnant,JP;Garraway,WM

文献摘要

被引文献

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本研究的目的是在明尼苏达州罗彻斯特市1680例卒中患者中确定卒中复发的趋势,以及卒中前血压和高血压管理对卒中复发的影响。267例发生复发性缺血性卒中。在1950-1979年的30年间,中风的复发率没有变化,而在此期间,中风的初始发病率有所下降。总体卒中复发率低于5%/年,1年、5年和10年的累计复发率分别为5.7%、19.3%和28.8%。在整个随访过程中,第一次中风前的血压水平和高血压管理对中风复发率都没有明显的影响。
The purposes of this study were to determine the trend in stroke recurrence over time and the effect of the prestroke blood pressure and management of hypertension on stroke recurrence in 1,680 incidence cases of stroke in residents of Rochester, Minnesota. Recurrent, primarily ischemic, stroke occurred in 267 cases. Stroke recurrence rates did not change during the 30-year period 1950-1979, in contrast to the decline in initial stroke incidence rates during this time. The overall stroke recurrence rates were less than 5%/yr, with cumulative rates of 5.7%, 19.3%, and 28.8% at 1, 5, and 10 years, respectively. Neither level of blood pressure before the first stroke nor management of hypertension had any apparent effect on stroke recurrence rates throughout the follow-up.