Stroke risk assessment on patients with diabetic hypertension in a community in Qingpu District of Shanghai

ObjectiveTo make assessment on stroke risk in patients with hypertension, diabetes and provide the scientific basis for accurate intervention.

MethodsIn a certain community of Qingpu District of Shanghai, by means of questionnaire, physical examination and laboratory examination, from patients with hypertension and diabetes in the community, a series of 400 patients above 55 with high risk of stroke were assessed with Framingham stroke probability model.

ResultsIn the high risk population, the morbidity probabilities in 10 years for men and women were 18.4% and 17.2%and for those with high blood pressure, diabetes, or with the two diseases were 9.8%, 19.6% and 20.1% respectively. Proportions of blood lipids, hyperhomocystinemia in hypertensive patients were significantly higher than in those with diabetes.

ConclusionFor patients with hypertension, the risk of stroke is significantly higher than that for diabetic patients in 10 years, and active and effective control of hypertension is the key to delay stroke. For men, quitting smoking and controlling homocystinemia levels are important measures to reduce the risk of stroke.