Abstract

FERNANDEZ GONZALEZ, Bárbara; TARANO BONACHEA, Dinorah; ARTEAGA AGUILA, Maritza  and  RODRIGUEZ MUTUBERRIA, Liván. Influence of history of diabetes mellitus on the severity of stroke in hypertensive patients. Rev cubana med [online]. 2013, vol.52, n.3, pp. 189-196. ISSN 0034-7523.

Background: An observational, cross-sectional study was conducted. Objective: To determine the influence of history of diabetes mellitus on the severity of neurological and functional manifestations in hypertensive patients who have suffered from a stroke. Methods: a study was conducted from 2007 to 2012 in 49 patients form the International Center of Neurological Restoration, with the diagnosis of stroke of more than 6 months of evolution. They were grouped in diabetic hypertensive and non-diabetic hypertensive patients. Comparisons between the two groups were made according to vascular risk factors (age, body mass index, sex, ischemic and valvular heart disease, dyslipidemia, smoking, atrial fibrillation, and hyperuricemia) and clinical scales (Scandinavian Stroke Scale, Barthel index scale and modified Rankin scale). Results: the groups under study did not present significant differences in relation to vascular risk factors, except the significant presence of dyslipidemia in the group of diabetic hypertensive patients (p=0,01). The value of the scales used was higher, but not significant in diabetic hypertensive patients (p>0,05), suggesting a similar behavior of the neurological and functional conditions in both groups. The values of glycemia and systolic and diastolic pressures, did not show relevant differences in the groups (p>0,05), existing an appropriate control of glycemic indexes for the diabetes mellitus (6,54±2,24 mmol/l) and an average inadequate control of the indexes of blood pressure in both groups (systolic pressure> 130 mm of Hg, diastolic pressure > 80 mm of Hg). Conclusions: the antecedent of diabetes mellitus in hypertensive patients that have suffered from a stroke, with more than 6 months of evolution, does not influence on the severity of both neurological and functional conditions.

Keywords : stroke; diabetes mellitus; arterial hypertension; severity.

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