• Deliang Zheng, Xinmiao Li, and Yongping Fu.
• Department of Laboratory, People's Hospital of Honghuagang District, 134 Linjiapo Road, Zunyi City, 563000, Guizhou Province, China. 877677121@qq.com.
• Ir J Med Sci. 2023 Oct 1; 192 (5): 244124452441-2445.

ObjectiveTo explore the risk factors of acute cerebral infarction (ACI) in patients with primary hypertension.MethodsPatients diagnosed with primary hypertension and ACI and confirmed by MRI, who were admitted to Honghuagang District people's Hospital, Zunyi City, from January 2020 to December 2020, were selected. Concurrent patients with primary hypertension were selected as the control group. The risk factor including sex, age, smoking, drinking, laboratory examination, and other complications was analyzed.ResultsThree hundred patients with hypertensive ACI and 117 cases with hypertension were included. The laboratory examination comparison between the two groups showed that patients in the ACI group had higher glycosylated hemoglobin, D-dimer and FDPs then patients of the control group (P < 0.05). There was significant association between diabetes mellitus and acute cerebral infarction in patients with primary hypertension (OR = 1.452, P = 0.004).ConclusionPoor control of blood glucose in pre-morbid diabetes mellitus may be related to the occurrence of ACI. Diabetes mellitus is an independent risk factor in ACI patients with primary hypertension.© 2022. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.

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