gms | German Medical Science

27. Wissenschaftlicher Kongress der Deutschen Hochdruckliga

Deutsche Liga zur Bekämpfung des hohen Blutdrucks – Deutsche Hypertonie Gesellschaft e. V.

26. bis 29.11.2003, Bonn

Risk factors for stroke: Hypertension in the perception of family doctors

Risikofaktoren für Schlaganfall: Wahrnehmung von Hypertonie durch Hausärzte

Meeting Abstract (Hypertonie 2003)

  • presenting/speaker S. Segebrecht - Charité Berlin (Berlin, D)
  • J. Welke - Charité Berlin (Berlin, D)
  • M. Herrmann - Charité Berlin (Berlin, D)
  • U. Schwantes - Charité Berlin (Berlin, D)

Hypertonie 2003. 27. Wissenschaftlicher Kongress der Deutschen Hochdruckliga. Bonn, 26.-29.11.2003. Düsseldorf, Köln: German Medical Science; 2004. Doc03hochP30

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Veröffentlicht: 11. November 2004

© 2004 Segebrecht et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Hypertension is one of the main causes for stroke. In the first part of this study patients from general practice surgeries had been recruited if the attending physician perceived at least one of eight well-defined risk factors for stroke, among which there was severe hypertension >160/100 mm Hg. 692 patients (35%) of a total of 2008 were included with this criterion which therewith was the most dominant one.


After completion of a one-year data acquisition phase we carried out 35 qualitative interviews with a cohort of family physicians in three German centres (Frankfurt, Nordbaden, Berlin). The participants were asked about risk assessment, their personal opinion about risk factors, estimated influence on risk reduction and the physician-patient relationship.


Most doctors put hypertension in the first place on an 8-item ranking list where risk factors for stroke were to arrange in order of importance to them.

With respect to their success in prevention doctors differentiated fundamentally between medicamentously treatable risk factors and those linked with "life-style": Hypertension as a prime example for a risk that can be diminished by medication was estimated to be more easily changed than, for instance, smoking.

Even though, many patients with hypertension repress the problem as they currently don't suffer from their disease.


Apart from doctors' alertness to the topic and excellent medical treatment available there is still a great many of hypertensive patients with inadequate medical care. Every endeavour should be made to transfer the merits of research to every single patient in primary care in order to improve prevention. This means focussing on patient education, the physician-patient relationship, communication and compliance..