Risk of stroke is related to quality of blood pressure control

There have been few studies in routine primary care of what constitutes "hypertension" in relation to stroke or of the quality of control of blood pressure in stroke cases. Du et al (p 272) conducted a population based case-control study of the risk of stroke in relation to quality of hypertension control in routine general practice across east Lancashire health district with a participating population of 388 821 aged under 80. About 21% of strokes were thus attributable to inadequate control with treatment, or 46 first events yearly per 100 000 population aged 40-79. In routine practice detection and then consistent control of blood pressure to <150/90 mm Hg is required for optimal stroke prevention.


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