Patients with a previous stroke attack who suffer from blood pressure control or regulation in Saudi Arabia

Authors

  • Khaled M. Hassan Department of Medicine, Consultant Family Medicine, Saudi Arabia
  • Abdulwahab A. Alqahtani Department of Medicine, Medical University of Lubin, Poland
  • Mohammed W. Alotaibi Department of Medicine, Medical University of Lubin, Poland
  • Abdulaziz A. Alahmari Department of Medicine, King Khalid University, Saudi Arabia
  • Salwa M. Alanazi Department of Medicine, Hail University, Saudi Arabia
  • Ghadah O. Al-Hussain Department of Medicine, Imam Mohammad Bin Saud University, Saudi Arabia
  • Mesedah A. Alnahdi Department of Medicine, Imam Mohammad Bin Saud University, Saudi Arabia
  • Faisal A. Alharbi Department of Medicine, University of Jeddah, Saudi Arabia
  • Ahmed A. Alshehri Department of Medicine, Alfarabi Medical College, Saudi Arabia
  • Ziyad A. Aloraini Department of Medicine, Alfarabi Medical College, Saudi Arabia
  • Sulaiman H. Almutairi Department of Medicine, Alfarabi Medical College, Saudi Arabia
  • Bara A. Baw Department of Medicine, Alfarabi Medical College, Saudi Arabia
  • Bader A. Alamer Department of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia
  • Khaled M. Alsassiri Department of Medicine, Khamis Mushait Sector, Saudi Arabia
  • Maha A. Alfaraj Department of Medicine, Jordan University of Science and Technology, Jordan
  • Abdulmohsen M. Alotaibi Department of Medicine, Taif University, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20204419

Keywords:

Blood pressure control, Previous stroke, Transient ischemic attack, Primary care, Saudi Arabia

Abstract

This study aims to discuss the blood pressure (BP) control with patients who suffer from a previous stroke or transient ischemic attack (TIA) in Saudi Arabia, to discuss the risk factors and to examine antihypertensive medication-dosing. The most recent office-based BP reading was compared with the BP <140/90 mmHg objective of the National Institute for Health and Care Excellence (NICE) (NG136) and European Society of Hypertension or European Society of Cardiology (ESH/ESC 2013) study participants. By benchmarking prescription doses for each drug with the World Health Organization-defined daily dosing (WHO-DDD) guidelines, optimal anti-hypertensive medication dosing was calculated. In 10 procedures, we found 328 patients with a prior stroke or TIA. When assessed against the ESH/ESC and NICE guidelines (63.1 percent, n=207), blood pressure was controlled in nearly two-thirds of patients. Of those with BP 140/90 (n=116), just under half (n=44, 47.3 percent) were sufficiently dosed relative to the WHO-DDD guidelines in all anti-hypertensive medicines. To conclude, in at least one-third of patients with a prior stroke or TIA, blood pressure regulation remains sub-optimal. Half of these patients were able to respond to an elevation of the anti-hypertensive dose. Further analysis is needed to see how best to control blood pressure in primary care patients with a previous stroke or TIA, since the majority of hypertension consultations take place in this setting.

Author Biography

Khaled M. Hassan, Department of Medicine, Consultant Family Medicine, Saudi Arabia

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Published

2020-10-26

How to Cite

Hassan, K. M., Alqahtani, A. A., Alotaibi, M. W., Alahmari, A. A., Alanazi, S. M., Al-Hussain, G. O., Alnahdi, M. A., Alharbi, F. A., Alshehri, A. A., Aloraini, Z. A., Almutairi, S. H., Baw, B. A., Alamer, B. A., Alsassiri, K. M., Alfaraj, M. A., & Alotaibi, A. M. (2020). Patients with a previous stroke attack who suffer from blood pressure control or regulation in Saudi Arabia. International Journal Of Community Medicine And Public Health, 7(11), 4619–4625. https://doi.org/10.18203/2394-6040.ijcmph20204419

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Section

Systematic Reviews