| Title: | Joint Modifiable Risk Factor Control and Incident Stroke in Hypertensive Patients |
| Journal: | Journal of Clinical Hypertension |
| Published: | 28 Sep 2024 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/39340432/ |
| DOI: | https://doi.org/10.1111/jch.14905 |
Publication 13429
WARNING: the interactive features of this website use CSS3, which your browser does not support. To use the full features of this website, please update your browser.
Abstract
Recent guidelines have recognized several factors, including blood pressure (BP), body mass index (BMI), low-density lipoprotein cholesterol (LDL-C), hemoglobin A1c (HbA1c), smoking, and physical activity, as key contributors to stroke risk. However, the impact of simultaneous management of these risk factors on stroke susceptibility in individuals with hypertension remains ambiguous. This study involved 238 388 participants from the UK Biobank, followed up from their recruitment date until April 1, 2023. Cox proportional hazard models with hazard ratios (HRs) and 95% confidence intervals (CIs) were used to illustrate the correlation between the joint modifiable risk factor control and the stroke risk. As the degree of risk factor control increased, a gradual reduction in stroke risk was observed. Hypertensive patients who had the optimal risk factor control (≥5 risk factor controls) had a 14.6% lower stroke risk than those who controlled 2 or fewer (HR: 0.854; 95% CI: 804-0.908; p < 0.001). The excess risk of stroke linked to hypertension slowly diminished as the number of controlled risk factors increased. However, the risk was still 25.1% higher for hypertensive patients with optimal risk factor control as compared to the non-hypertensive population (HR: 1.251; 95% CI: 1.100-1.422; p < 0.001). The protective effect of joint risk factor control against the stroke risk due to hypertension was stronger in medicated hypertensive patients than in those not medicated. This finding leads to the conclusion that joint risk factor control combined with pharmacological treatment could potentially eliminate the excess risk of stroke associated with hypertension.</p>
8 Authors
- Xuefei Hou
- Suru Yue
- Zihan Xu
- Xiaolin Li
- Yingbai Wang
- Jia Wang
- Xiaoming Chen
- Jiayuan Wu
1 Application
| Application ID | Title |
|---|---|
| 97101 | Identification of causal relationship and interaction between metabolic and environmental risk factor with chronic diseases and mortality |
Enabling scientific discoveries that improve human health