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Revista Cubana de Medicina

versión impresa ISSN 0034-7523versión On-line ISSN 1561-302X

Resumen

ALVAREZ-ALIAGA, Alexis; RODRIGUEZ-BLANCO, Liuska Haydée; QUESADA-VAZQUEZ, Andrés José  y  LOPEZ COSTA, Carlos. Risk factors of hypertensive acute cerebrovascular disease (HACVD). Rev cubana med [online]. 2006, vol.45, n.4. ISSN 0034-7523.

A case-control study was conducted in patients with hypertensive cerebrovascular disease to identify the risk factors related to the appearance of the disease. The patients were selected at random 1:1 (70 cases/70 controls). The following risk factors were anlyzed: aging, male sex, toxic habits, personal premorbid factors, time of evolution, and severity of hypertension. It was observed that males almost fivefolded the risk of hypertensive acute cerebrovascular disease (OR 4.77; CI 95 % 2.20-1042) and similar age [OR 4.61; CI 95 % 2.07-10.39]), smoking doubled the risk (OR 2.44; CI 95 % 1.09-5.5), and alcoholism threefolded it (OR 3.42; CI 95 % 1.16-10.53). Of the premorbid factors, sedentarism increases in more than 8 times the risk of occurrence of the disease (OR 8.96; CI 95 % 3.4- 21.27), and hypercholesterolemia triplicates it (OR 3,84; CI 95 %1.65-9.06). The time of evolution of hypertension = 15 years increases more than 15 times the entity risk (OR 15.49; CI 95 % 6.24-39.45), and the very severe state sevenfolded it (OR 7.15; CI 95 % 2.68-1986). It was concluded that the male sex, aging, the toxic habits, and the premorbid factors are associated with the appearance of ACVD. The time of evolution of hypertension and its severity are directly proportional to the risk of occurrence of the acute cerebrovascular disease

Palabras clave : Acute cerebrovascular disease; arterial hypertension.

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