title: [Control of cardiovascular risk factors in patients with stroke attended in primary care in Spain. ICTUSCARE study].
abstract: BACKGROUND
  The aim of this cross-sectional, multicenter survey was: 1) To investigate the level of control of cardiovascuar risk factors in patients with a previous stroke. 2) To know the pharmacological therapy used to attain the control.
  
  
  METHODS
  Data obtained from a total of 955 patients were included in the analysis.. There were evaluated cardiovascular risk factors, parameters related to the degree of control, analytical parameters, antropometric and pharmacological indicated treatment.
  
  
  RESULTS
  The majority (61%) had suffered an ischemic stroke and 97.7% presented at least one associated cardiovascular risk factor, being hypertension (84.8%) and dyslipidemia (61.8%) the most frequent. Other factors were abdominal obesity (42.9%), diabetes mellitus (35.6%) and smoking (25.1%). Only 1.2% of the patients presented an adequate control of all cardiovascular risk factors. Only 17.6% had a well controlled blood pressure and in 29.8% LDL-cholesterol was well controlled. In 50.2% of diabetic patients HbA1c was well controlled. Angiotensin receptor blockers were the most widely used antihypertensive drugs (57.6%) while thiazide diuretics were prescribed in 33.4%. Statins were prescribed in 72.8% of patients and metformin, aspirin and acenocumarol in 30.2%, 57.3%, and 15.0% respectively.
  
  
  CONCLUSIONS
  In conclusion, in patients with a past history of stroke arterial hypertension is the most common cardiovascular risk factor and the control of these factors requires an improvement.
authors.affiliation: Universidad Católica de Murcia, Cátedra de Riesgo cardiovascular, Murcia, España. jabellan@pdi.ucam.edu
authors.forename: José
authors.initials: J
authors.lastname: Abellán Alemán
authors.forename: Luis Miguel
authors.initials: LM
authors.lastname: Ruilope Urioste
authors.forename: Mariano
authors.initials: M
authors.lastname: Leal Hernández
authors.forename: Pedro
authors.initials: P
authors.lastname: Armario García
authors.forename: Gregorio
authors.initials: G
authors.lastname: Tiberio López
authors.forename: Nieves
authors.initials: N
authors.lastname: Martell Claros
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases / Q000209:etiology* / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D011320:Primary Health Care; D012307:Risk Factors; D013030:Spain; D020521:Stroke / Q000150:complications*