Search | Search by Center | Search by Source | Keywords in Title
Powers BJ, Oddone EZ, Grubber JM, Olsen MK, Bosworth HB. Perceived and actual stroke risk among men with hypertension. Journal of clinical hypertension (Greenwich, Conn.). 2008 Apr 1; 10(4):287-94.
The purposes of this study were to determine whether there is a significant correlation between the perceived and actual stroke risk among hypertensive patients and to identify patient characteristics associated with inaccurate estimation of stroke risk. The authors performed a cross-sectional analysis of 296 men with hypertension who were enrolled in the Veterans Study to Improve the Control of Hypertension (V-STITCH). A patient''s actual stroke risk was calculated using the Framingham stroke risk (FSR); patients'' perceived risk was measured according to a self-reported 10-point risk scale. The median 10-year FSR was 16%, but the median perceived risk score was 5 (range, 1 [lowest] to 10 [highest]). There was no significant correlation between patients'' perceived risk of stroke and their calculated FSR (Spearman rho = -0.08; P = .16; 95% confidence interval, -0.19 to 0.03). Patients who underestimated their stroke risk were significantly less likely to be worried about their blood pressure than patients with accurate risk perception (12.4% vs 69.6%; P < .0001). The lack of correlation between hypertensive patients'' perceived stroke risk and FSR supports the need for better patient education on the risks associated with hypertension.