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Of the 248 eligible patients admitted with stroke,219 were blacks. Hypertension was more frequently associated with stroke in young black than in non-black patients(55%versus 24%,P=.003).Cocaine abuse was frequent among both black and non-black patients(27%versus 38%,P=NS). Hypertensive intracerebral hemorrhage(64%)was the most common subtype of intracerebral hemorrhage(n=67),and lacunar infarction(21%)was the most common subtype of cerebral infarction(n=112)in young black patients. Outcome in black patients with stroke at discharge was 69%independent,8% dependent,and 23%dead.The high frequency of hypertension,hypertensive intracerebral hemorrhage,and lacunar infarction among young black patients with stroke suggests accelerated hypertensive arteriolar damage,possibly due to poor control of hypertension. |
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