{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T03:36:02Z","timestamp":1783568162584,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,5,17]],"date-time":"2019-05-17T00:00:00Z","timestamp":1558051200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Understanding the patterns of antihypertensive drug use and blood pressure (BP) control among stroke survivors in the \u201creal\u2010world\u201d setting is important to identify gaps in treatment and control, if any. The objective of our study was to assess trends and patterns in antihypertensive drug use and BP control among stroke survivors in the United States. We performed a retrospective cross\u2010sectional analysis of the 2003\u20102014 National Health and Nutrition Examination Survey (NHANES). Stroke and hypertension diagnoses were self\u2010reported. Information regarding the use of antihypertensive drugs was collected during an in\u2010person interview. Measurement of BP was performed by trained medical professionals in mobile examination centers. A total 1244 adult stroke survivors (equating to 6\u00a0232\u00a0215 stroke survivors nationwide) were identified, of which 956 had hypertension. Antihypertensive drug use increased from 2003 (79.5%) to 2014 (92.2%; <jats:italic>P<\/jats:italic> for trend\u00a0&lt;\u00a00.001). The prevalence of drug use was lower (52%) among survivors aged 20\u201039\u00a0years compared with older age groups. Use of \u22652 antihypertensive drugs was prevalent (63.8%), but diuretics alone or in combination with angiotensin\u2010converting enzyme inhibitors were underutilized (22.4%). More than one\u2010third of the survivors were not at BP goal (ie, BP\u00a0&lt;\u00a0140\/90\u00a0mm\u00a0Hg). Males were more likely to attain BP goal than female stroke survivors (odds ratio [OR]\u00a0=\u00a02.02; 95% CI: 1.34\u20103.05). Our findings suggest that despite improvements in antihypertensive drug use in the recent years, BP is not adequately controlled in a significant proportion of stroke survivors. Further research focusing on understanding the reasons for unmet BP goal in stroke survivors is needed.<\/jats:p>","DOI":"10.1111\/jch.13553","type":"journal-article","created":{"date-parts":[[2019,5,17]],"date-time":"2019-05-17T12:30:16Z","timestamp":1558096216000},"page":"766-773","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Antihypertensive drug use and blood pressure control among stroke survivors in the United States: NHANES 2003\u20102014"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5501-3034","authenticated-orcid":false,"given":"Kalyani","family":"Sonawane","sequence":"first","affiliation":[{"name":"Department of Management, Center for Healthcare Data, Policy and Community Health, School of Public Health The University of Texas Health Science Center at Houston Houston Texas"},{"name":"Department of Management, Center for Health Services Research, Policy and Community Health, School of Public Health The University of Texas Health Science Center at Houston Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yenan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Management, Policy and Community Health, School of Public Health The University of Texas Health Science Center at Houston Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Balkrishnan","sequence":"additional","affiliation":[{"name":"Section on Population Health and Prevention Research University of Virginia School of Medicine Charlottesville Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Suk","sequence":"additional","affiliation":[{"name":"Department of Management, Policy and Community Health, School of Public Health The University of Texas Health Science Center at Houston Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjail","family":"Sharrief","sequence":"additional","affiliation":[{"name":"Department of Neurology UTHealth Medical School at Houston Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish A.","family":"Deshmukh","sequence":"additional","affiliation":[{"name":"Department of Management, Center for Health Services Research, Policy and Community Health, School of Public Health The University of Texas Health Science Center at Houston Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Aguilar","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Human Genetics &amp; Environmental Sciences The University of Texas Health Science Center at Houston Houston Texas"},{"name":"Department of Medicine, Division of Cardiology UTHealth Medical School at Houston Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000366"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11911-8"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000126208.14181.DD"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000092488.40085.15"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.116.08485"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03540330061036"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000024"},{"key":"e_1_2_8_9_1","unstructured":"CDC National Center for Health Statistics.National Health and Nutrition Examination Survey.2011;http:\/\/www.cdc.gov\/nchs\/nhanes\/nhanes_questionnaires.htm. 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