Abstract 130: Are There Gender Differences in Systolic and Diastolic Blood Pressure for Stroke Patients at Presentation to Paramedics After Calling 911?
Introduction: There is a paucity of data on the prehospital presentation of stroke patients. Our assumption was that there are gender differences in S.B.P. and D.B.P. when paramedics first arrive at the scene to evaluate patients with acute non-traumatic cerebral deficit. According to the 2010 A.H.A. guidelines blood pressure elevation should not be treated acutely in the pre-hospital setting.
METHODS: A retrospective review of run sheets was conducted to determine age, race, sex, initial blood pressure, onset of symptoms and whether the patients were being treated for hypertension. Minitab 16 was used to analyze the data. 2 sample poison test was used to compare groups.
Results: •214 total records were reviewed •There were 142 Caucasian, 63 Afro-American and 6 Hispanic patients •The initial presenting E.K.G. rhythm was a. Fib in 14 patients, N.S.R. in 186 patients and a paced rhythm in 11 patients •All 209 patients were transported to stroke receiving hospitals without untoward consequences •46 patients called 911 more than 3.5 hrs after the onset of symptoms
51/117 (43%) of women were on antihypertensive agents. 45/92 (48%) of men were on antihypertensive agents.
Conclusions: For patients who call 911 after the onset of a non-traumatic acute cerebral deficit: there is no difference between men’s and women’s systolic and diastolic blood pressures; despite a significant difference in age and significant variation in treatment regiments for high blood pressure prior to the onset of symptoms.
- © 2012 by American Heart Association, Inc.