Accidente cerebrovascular en pacientes hipertensos mayores de 65 años.

Abstract

Arterial hypertension (AHT) is the main modifiable risk factor for cerebrovascular accident (CVA), and is what most older adults suffer from in the world. The inadequate control of their medication for various reasons has resulted in patients with hypertension having a 3-4 times higher risk of stroke. The impact of any clinical form of the disease on patients is important, since it frequently causes sequelae that affect their quality of life. The methodology was carried out by means of a descriptive literature review, based on consultation of the databases of: PubMed, Science Direct, Cochrane, Medigraphic, Dialnet, scielo, sciencedirect, Permanyer and Google academic. Among the conclusive aspects of the present investigation, it was found that the risk factors for stroke include arterial hypertension and other elements, such as diabetes, smoking, obesity and high lipid levels, contribute significantly to endothelial damage, thus justifying the high incidence and prevalence of ischemic stroke. HT is a public health concern in Ecuador, with a high prevalence in the population, being associated with 32-50% of stroke cases.