Stroke Awareness Research Articles

Trends in the Incidence and Risk Factors of Pregnancy-Associated Stroke.

Pregnancy is a female-specific risk factor for stroke. Although pregnancy-associated stroke (PAS) is a rare event, PAS leads to considerable maternal mortality and morbidity. It is estimated that 7.7–15% of all maternal deaths worldwide are caused by stroke and 30–50% of surviving women are left with persistent neurological deficits. During last decade, several studies have reported an increasing incidence of PAS. The objective of this review is to summarize studies on time trends of PAS in relation to trends in the prevalence of stroke risk factors in pregnant women. Seven retrospective national healthcare register-based cohort studies from the US, Canada, UK, Sweden, and Finland were identified. Five studies from the US, Canada, and Finland reported an increasing trend of PAS. Potential biases include more sensitive diagnostics and improved stroke awareness among pregnant women and professionals toward the end of the study period. However, the concurrent increase in the prevalence of several stroke risk factors among pregnant women, particularly advanced age, hypertensive disorders of pregnancy, diabetes, and obesity, indicate that the findings are likely robust and should be considered seriously. To reduce stroke in pregnancy, increased awareness among all medical specialties and pregnant women on the importance of risk-factor management during pregnancy and stroke symptoms is necessary. Important preventive measures include counseling for smoking cessation and substance abuse, treatment of hypertensive disorders of pregnancy, use of aspirin in women at high risk for developing preeclampsia, and antithrombotic medication and pregnancy surveillance for women with high-risk conditions. Epidemiological data from countries with a high risk-factor burden are largely missing. National and international registries and prospective studies are needed to increase knowledge on the mechanisms, risk factors, management, and future implications for the health of women who experience this rare but devastating complication of pregnancy.

Knowledge, Prevention, and Practice of Heat Strokes among the Public in United Arab Emirates (UAE)

Background: Heat strokes are predictable and preventable, so sufficient public awareness of the condition and preventative practices are essential in hot and humid countries such as the United Arab Emirates (UAE). This study aims to assess the level of awareness (knowledge, prevention, and management) of heat stroke among UAE residents. Methods: Survey-based study of a random sample of adults (?18 years) in four different cities of UAE. The questionnaire included 37 questions on knowledge and practices. Correct answer was equal to one point and total scores were calculated. The average of participants’ total scores was taken as cut-off point. Multivariate logistic regression was used to identify associated factors with below-average awareness. Results: A total of 402 people participated in the study, with age average 33±12 years and 48.5% were female. Only 1 person achieved a perfect score and 0.7%, 10%, and 17.7% achieved above average scores in knowledge, practices, and management, respectively. Seven percent of participants had never heard of a heat stroke before. A third of participants (32%) did not know that severe heat strokes can lead to death. Males are at higher risk of having a poor level of knowledge (Odds ratio [OR]=1.65; 95% confidence interval [95%CI]=1.10-2.47). The older the population the poor was the knowledge about heat stroke (OR=1.39, 95%CI=1.03-1.89). Conclusion: The results of this study show that a huge proportion of the population in the UAE does not have sufficient knowledge about heat stroke, its prevention, and management. Governmental institutes should increase awareness of heat stroke.

Stroke recovery - what are people talking about on Twitter?

Context: To aid prioritisation of funding for stroke research, a Stroke Priority Setting Partnership is being conducted in the UK by The Stroke Association using surveys and workshops with stroke survivors, stroke carers and health professionals. Another valuable source of information about topics that require research is the social media platform Twitter. Objective: To ascertain common topics of discussion in relation to stroke recovery on Twitter amongst stroke survivors, their carers, and the general public. Study design and analysis: Content analysis of public posts on Twitter. Dataset: An electronic search of Twitter was performed to analyse the content of two major stroke discussion tags: #strokesurvivor and #strokerecovery. Tweets were collected using NCapture, an open-source extension for the internet browser Chrome. Tweets spanning 5 weeks over the course of January to February 2021 were analysed. Population studied: Tweets made by stroke survivors and their carers or other interested members of the public were included and those made by health professionals or organisations (e.g. charities or health care providers) were excluded. All tweets were fully anonymised and edited where necessary to omit any identifying information. Outcome measures: The content of each tweet was analysed thematically using NVIVO, with tweets being coded by their content and sentiment to identify trends in discussion. Results: 486 tweets were analysed following the removal of duplicate and unrelated material. From these, 6 themes were identified: motivation & positivity; raising of stroke awareness; experience of the stroke rehabilitation process; symptomatic aspects of stroke recovery; sharing of stroke-related resources; and concerns about COVID-19. Conclusions: Twitter's role as a space for peer-support and motivation amongst survivors was evident, as was its potential for promoting awareness of stroke and its sequalae to the public. Amongst the most prominent aspects of recovery discussed was the psychological impact of stroke, with users expressing difficulty in addressing the emotional sequalae in comparison to the physical aspects. This may be addressed by targeted funding of mental health services, and recognition of the specialised needs of stroke survivors. It is hoped that the findings of this project will be useful in guiding the apportioning of funding, as well as complementing the findings of the James Lind Alliance's Priority Setting Partnership.

Educational Intervention in the Emergency Department to Address Disparities in Stroke Knowledge

ObjectivesIn the United States, Black individuals have higher stroke incidence and mortality when compared to white individuals and are also at risk of having lower stroke knowledge and awareness. With the need to implement focused interventions to decrease stroke disparities, the objective of this study is to evaluate the feasibility and efficacy of an emergency department-based educational intervention aimed at increasing stroke awareness and preparedness among a disproportionately high-risk group. Materials and methodsOver a three-month timeframe, an emergency department-based, prospective educational intervention was implemented for Black patients in an urban, academic emergency department. All participants received stroke education in the forms of a video, written brochure and verbal counseling. Stroke knowledge was assessed pre-intervention, immediately post-intervention, and at one-month post-intervention. ResultsOne hundred eighty-five patients were approached for enrollment, of whom 100 participants completed the educational intervention as well as the pre- and immediate post- intervention knowledge assessments. Participants demonstrated increased stroke knowledge from baseline knowledge assessment (5.35 ± 1.97) at both immediate post-intervention (7.66 ± 2.42, p < .0001) and one-month post-intervention assessment (7.21 ± 2.21, p < .0001). ConclusionsEmergency department-based stroke education can result in improved knowledge among this focused demographic. The emergency department represents a potential site for educational interventions to address disparities in stroke knowledge.

Endovascular Therapy is Effective for Large Vessel Occlusion Despite Concurrent Cancer

ObjectivesIschemic stroke and concurrent cancer is increasingly recognized. However, optimal management is uncertain. As mechanical thrombectomy has become the standard of care for large vessel occlusion, more patients with cancer are presenting for embolectomy. However, it is unknown whether this subgroup has the same benefit profile described in multiple randomized trials for thrombectomy for large vessel occlusion. Our objective was to retrospectively evaluate a North American embolectomy database for safety and outcomes in patients with active cancer. Materials and methodsA case series of 284 embolectomies over 30 months at a single North American stroke center were divided into thrombectomy patients with active cancer(n=25) and those without active cancer (n=259). We compared patient characteristics, procedural characteristics, and procedural outcomes between patients with and without active cancer. Univariate and multivariate analysis of angiographic outcomes, postoperative hemorrhage, and functional outcome was performed. ResultsOf the 284 thrombectomy cases, 9% were performed on patients with active cancer. Active cancer patients had a similar recanalization grade and post-operative hemorrhage rate, compared to patients without cancer. Active cancer patients had a significantly higher 90 day mortality (40% vs 20%, p=0.018). On multivariate analysis, good functional outcome (mRS 0-2) was not impacted by active cancer. However, when mRS was evaluated as an ordinal shift analysis, worse functional outcome was associated with active cancer (OR 2.98; 95% CI, 1.29 to 6.59), greater age, NIHSS> 10, and ASPECTS<9. ConclusionsThis single center retrospective series of active cancer patients undergoing thrombectomy for large vessel occlusion demonstrates similar rates of recanalization, post-operative hemorrhage, and good outcomes. While the active cancer group has a high short-term mortality, the potential to maintain quality of life in the survivors makes thrombectomy reasonable in this patient population. Awareness of ischemic stroke as a complication of cancer and the safety of thrombectomy in this population are important as this population subtype is expected to grow with improved oncology and stroke care

Increasing the Awareness of Stroke Among Canadian Women.

Previous studies have shown that there is increased mortality of cerebrovascular diseases such as stroke among Canadian women. The morbidity of stroke is also higher among Canadian women because they are less likely to recover from stroke, and they generally tend to have a greater disability from a stroke when compared to men. In order to help minimize these issues, six interventional strategies were evaluated using four criteria: 1) the evidence-based criterion, 2) the socioeconomic-based criterion, 3) the ethics-based criterion, and 4) the sustainable-based criterion. Upon analysis, two alternative interventional strategies were recommended: increased public awareness of stroke symptoms and increased public awareness of stroke risk factors among Canadian women.

Abstract TP36: Stroke Prevention Community Outreach Education During A Pandemic

Background: During the 2020/2021 pandemic Integris Health’s Stroke Awareness Community Education Goals continued. Educating our communities about the early warning signs of stroke and emergency steps to initiate when someone experiences stroke symptoms saves lives. With community closings during the pandemic, locating our community partners and developing creative ways to continue to educate became a challenging and rewarding project. Purpose: The purpose of our “new” pandemic community stroke awareness program was to continue our mission goals to teach as many people as possible; a) the short, simple way to recognize a possible stroke, b) learn what to do and what NOT to do if a stroke is suspected, and c) to secure emergency help immediately. The processes to meet these goals were successfully modified permitting our program to continue. Methods: Prior to the 2020 pandemic the stroke community educator utilized an in-person teaching/learning strategy. Guided by new pandemic teaching/learning methods such as remote lunch &amp; learns, electronic communication platform learning, vaccine clinic education, drive by health fairs and educating at staff huddles community education continued. Creative ways to distribute promotional stroke awareness items were also developed and distributed. Results: Significant community education during the pandemic continued with more than 3000 participants receiving stroke awareness education. Prior to our modification processes our community outreach programs were not providing education to any community contacts. Modifying a Community Stroke Awareness Program during a pandemic can be a successful way to continue this valuable educational platform. Conclusions: Our new creative community education program demonstrated that community education can continue in a pandemic. Finding creative ways to reach closed communities were successful and our stroke education/stroke prevention mission continued.

Abstract 57: Seeking Support For Symptoms Of Stroke Delays Emergency Medical Service Activation For Thai Women And Men

Background: National stroke campaigns have been implemented to improve stroke knowledge and awareness for the Thai public. Despite these efforts, only a minority of people recognize stroke symptoms and seek treatments within 4.5 hours after symptom onset. Studies reveal sex differences in stroke knowledge, which contributes to delayed treatment-seeking actions. Purpose: This study aimed to examine sex differences in stroke knowledge, symptoms, stroke recognition, and initial action between men and women after experiencing acute strokes. Methods: A cross-sectional study was conducted at three hospitals in Thailand between September and November 2020. Medical record reviews and patient interviews were completed within seven days of admission. Standardized questionnaires for prior stroke knowledge (stroke warning signs &amp; proper actions), clinical manifestation, stroke recognition, first action, and the activation of the emergency medical service (EMS) were used. Results: A total of 170 patients (54% men) with a median age of 63 years were included. Mean scores for prior stroke knowledge were higher in men compared to women (2.97 vs. 2.23, p = .02). Men were more likely than women to identify sudden numbness or weakness and sudden trouble walking or dizziness as stroke warning signs (62% vs. 42%, p = .01; 57% vs. 40%, p = .03, respectively). Women more frequently experienced severe headache (37% vs. 18%, p &lt; .01). No significant differences between men and women were found in stroke recognition (20% vs. 26%) and activation of the EMS system (22% vs. 19%). Seeking support from someone nearby or on the phone was the most frequent first action in men (47%) and women (55%), which often delayed EMS activation. Conclusion: Even though men scored higher in stroke knowledge than women, challenges to activating the EMS were found in both sexes, highlighting the need to explore targeted educational material and knowledge translation among high-risk stroke patients and their relatives, regardless of sex.

Factors Associated with Knowledge and Awareness of Stroke Among the Jordanian Population: A Cross-Sectional Study.

Background and objective: Stroke is the second leading cause of death in Jordan and over the world. Knowledge and awareness towards stroke play a crucial role in the management and prevention of its complications. This study aims to assess the knowledge and awareness about stroke among the Jordanian population and determine factors associated with stroke awareness. Methods: This cross-sectional study through a web-based anonymous questionnaire that needed 10 minutes to be completed. It examined sociodemographic characteristics and recognition of the risk factors, warning signs, stroke consequences, and early response to stroke symptoms. Logistic regression analysis identified the factors associated with poor knowledge of stroke. Results: A total of 573 Jordanian adults participated in this study. The participant's ability to identify at least one early symptom of stroke and the proper response to the symptoms were significantly correlated with the educational level (OR of 3.4 and 2.5, respectively). At least one consequence of stroke was significantly associated with different demographic factors such as gender, socioeconomic income, females versus males and those with medium income versus low income had significantly higher odds (OR of 6.6 and 4.1, respectively). Conclusion: This study revealed a good knowledge and awareness level about stroke among Jordanians correlated mainly with their educational level. Therefore, new strategies should be considered to decrease the prevalence of stroke in Jordan, including the need for engagement in enhanced awareness campaigns.

Stroke Awareness among Hypertensive Patients: Institutional Based Survey in Western Rajasthan, India.

Stroke Awareness among Hypertensive Patients: Institutional Based Survey in Western Rajasthan, India.

RAPIDO: Promoting stroke awareness among Spanish speakers.

The mnemonic BE-FAST (Balance, Eyes, Face, Arm, Speech, Time) has been developed for the public to better remember and identify the warning signs of stroke. However, discrepancies may arise when translating stroke educational materials from English to Spanish. This article discusses the use of a culturally tailored tool, RAPIDO, to raise stroke awareness in Spanish-speaking populations.

Knowledge about Stroke among Workers in Public and Private Enterprises in Brazzaville and Their Attitudes towards Stroke Victims

Background: Stroke causes multiple complications, sequelae and a high mortality rate. Therefore, it is important to initiate or improve stroke awareness. Objectives: To assess knowledge about stroke among workers, explore workers’ attitudes towards stroke victims and identify factors influencing knowledge about stroke and workers’ attitudes. Methods: It was an analytical cross-sectional study. It was conducted from 16 August to 30 December 2020 (4.5 months). It was carried out in public and private enterprises in the formal sector in Brazzaville. It focused on workers aged 19 years and above. The study variables were socio-professional, psychosocial, epidemiological and clinical. Results: This study included 543 workers who fulfilled inclusion criteria. The knowledge scores for at least one warning sign and one risk factor were 74% and 77.7%, respectively. The average knowledge scores for warning signs and risk factors were 11.4% and 16.7%, respectively. For prevention measures, average knowledge score was 16.5%. The average score of knowledge for items related to post-stroke life of stroke victims was 78.3%. The average rate of positive attitudes of workers towards stroke victims was 81.4%. The determinants of knowledge about stroke were education (p = 0.039) and information (p = 0.040). The factors influencing workers’ normal attitude were education (p = 0.023) and knowledge about stroke (p Conclusion: Although the attitudes towards stroke victims are overall good, the level of knowledge about warning signs, risk factors and prevention measures is low. Because of this, it is important to organize public regular awareness and education campaigns in order to improve and increase knowledge about stroke.

The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools

ObjectiveStroke is an important cause of disability and death in adults worldwide. However, it is preventable in most cases and treatable as long as patients recognize it and reach capable medical facilities in time. This community-based study investigated students' stroke knowledge, Emergency Medical Services (EMS) activation, associated risk factors, warning signs and symptoms, and prior experience from different educational levels in the KIDS SAVE LIVES BRAZIL project. MethodsThe authors conducted the survey with a structured questionnaire in 2019‒2020. ResultsStudents from the elementary-school (n = 1187, ∼13 y.o., prior experience: 14%, 51% women), high-school (n = 806, ∼17 y.o., prior experience: 13%, 47% women) and University (n = 1961, ∼22 y.o., prior experience: 9%, 66% women) completed the survey. Among the students, the awareness of stroke general knowledge, associated risk factors, and warning signs and symptoms varied between 42%‒66%. When stimulated, less than 52% of the students associated stroke with hypercholesterolemia, smoking, diabetes, and hypertension. When stimulated, 62%‒65% of students recognized arm weakness, facial drooping, and speech difficulty; only fewer identified acute headache (43%). Interestingly, 67% knew the EMS number; 81% wanted to have stroke education at school, and ∼75% wanted it mandatory. Women, higher education, and prior experience were associated with higher scores of knowing risk factors (OR = 1.28, 95% CI: 1.10‒1.48; OR = 2.12, 95% CI: 1.87‒2.40; OR = 1.46, 95% CI: 1.16‒1.83; respectively), and warning signs- symptoms (OR = 2.22, 95% CI: 1.89‒2.60; OR = 3.30, 95% CI: 2.81‒3.87; OR = 2.04, 95% CI: 1.58‒2.63; respectively). ConclusionHaving higher education, prior experience, and being a woman increases stroke-associated risk factors, and warning signs and symptoms identification. Schoolchildren and adolescents should be the main target population for stroke awareness.

Medication-Adherence and Management of Risk Factors for Secondary Prevention of Stroke Using Smartphone-Based Application: Protocol for MAMORs-Randomized Controlled Trial.

In LMICs, the medication adherence and risk factor control are suboptimal in the post-stroke follow-up period. With shortage of physicians, smartphone-based interventions can help stroke survivors in secondary stroke prevention. We aim to validate a digital innovative technology-based intervention to improve the awareness, medication adherence, control of risk factors through timely intervention of physician among the stroke survivors. MAMOR is a smartphone-based application to improve the stroke awareness by heath education materials, reminders to timely adherence of medication, alerts on control of risk factors, video files, and timely physician intervention. The study will involve development of the app using contextual research (Delphi qualitative method) followed by a randomized, single center, double arm-controlled trial with 1:1 assignment. The app will be evaluated over a period of 6 months with a target to enroll 192 participants. Process evaluation will be conducted. The sample size was calculated as 192, considering medication adherence of 43.8%, 20% increase in medication adherence by app, power of 80%, and 10% loss to follow-up. The primary outcome will be medication adherence, changes in the lifestyle and behavioral and control of vascular risk factors. The secondary outcome will include vascular events and functional outcome. This study will be one among the few studies for secondary prevention of stroke through digital technology innovation in LMICs with resource constraints. The evidences generated from this study will provide translational evidence for other similar settings for stroke survivors.

Impact of Multimedia Campaigns on Recognition and Response to Stroke

Background: Timely recognition of stroke symptoms and appropriate emergency response offers those who experience stroke an increased chance of physical and psychosocial recovery. International research suggests there is a lack of knowledge amongst the general population of the signs and symptoms of stroke, this may impact on seeking treatment. Public awareness campaigns are designed to educate the public on how to recognise and respond to symptoms of stroke Aim: To investigate recognition and response to stroke and associated factors. Design: A cross-sectional study was designed, a researcher developed questionnaire sought information related to previous experience of stroke, knowledge of risk factors, recognition of stroke symptoms, awareness of treatment available and the ability to identify what the letters of the FAST acronym represent. The Stroke Action Test (STAT)41 was used to investigate how participants would respond to specific symptoms of stroke. Sample: A convenient sample (n=243) which included older people attending an outpatients’ clinic in a large teaching hospital were included. A mixed method of data collection of online and paper version was used. Findings: Results identified that 41% of participants recognised all six stroke symptoms as defined by the American Heart and Stroke Association. The symptom most frequently recognised by participants was numbness of the face, arm and leg (97%). The mean STAT score for participants was 9 which indicated that most participants would respond appropriately, by contacting the emerging services, to 9 out of a total of 21 items describing stroke in the STAT. Multivariate analysis identified that having previously had a stroke and knowledge of risk factors for stroke were significantly associated with recognition of stroke symptoms. Participants were most likely to respond to items which described classic stroke symptoms such as limb weakness and difficulty speaking. Conclusion Awareness of treatment available for stroke is a predictor of appropriate response to stroke. Future stroke awareness campaigns should include information on the availability, benefits and timelines for treatment of stroke to help individuals who experience stroke overcome delays in their response to the recognition of stroke symptoms.

Factors Associated with Knowledge and Awareness of Stroke Among the Jordanian Population: A Cross-Sectional Study

Background and objective: Stroke is the second leading cause of death in Jordan and over the world. Knowledge and awareness towards stroke play a crucial role in the management and prevention of its complications. This study aims to assess the knowledge and awareness about stroke among the Jordanian population and determine factors associated with stroke awareness. Methods: This cross-sectional study through a web-based anonymous questionnaire that needed 10 minutes to be completed. It examined sociodemographic characteristics and recognition of the risk factors, warning signs, stroke consequences, and early response to stroke symptoms. Logistic regression analysis identified the factors associated with poor knowledge of stroke. Results: A total of 573 Jordanian adults participated in this study. The participant's ability to identify at least one early symptom of stroke and the proper response to the symptoms were significantly correlated with the educational level (OR of 3.4 and 2.5, respectively). At least one consequence of stroke was significantly associated with different demographic factors such as gender, socioeconomic income, females versus males and those with medium income versus low income had significantly higher odds (OR of 6.6 and 4.1, respectively). Conclusion: This study revealed a good knowledge and awareness level about stroke among Jordanians correlated mainly with their educational level. Therefore, new strategies should be considered to decrease the prevalence of stroke in Jordan, including the need for engagement in enhanced awareness campaigns.

Factors Associated with Knowledge and Awareness of Stroke Among the Jordanian Population: A Cross-Sectional Study

Background and objective: Stroke is the second leading cause of death in Jordan and over the world. Knowledge and awareness towards stroke play a crucial role in the management and prevention of its complications. This study aims to assess the knowledge and awareness about stroke among the Jordanian population and determine factors associated with stroke awareness. Methods: This cross-sectional study through a web-based anonymous questionnaire that needed 10 minutes to be completed. It examined sociodemographic characteristics and recognition of the risk factors, warning signs, stroke consequences, and early response to stroke symptoms. Logistic regression analysis identified the factors associated with poor knowledge of stroke. Results: A total of 573 Jordanian adults participated in this study. The participant's ability to identify at least one early symptom of stroke and the proper response to the symptoms were significantly correlated with the educational level (OR of 3.4 and 2.5, respectively). At least one consequence of stroke was significantly associated with different demographic factors such as gender, socioeconomic income, females versus males and those with medium income versus low income had significantly higher odds (OR of 6.6 and 4.1, respectively). Conclusion: This study revealed a good knowledge and awareness level about stroke among Jordanians correlated mainly with their educational level. Therefore, new strategies should be considered to decrease the prevalence of stroke in Jordan, including the need for engagement in enhanced awareness campaigns.

STUDI LITERATUR : SCOPING REVIEW GAMBARAN FAKTOR DALAM PREHOSPITAL DELAY PADA PASIEN STROKE

ABSTRACTPrehospital delay in stroke patients occurs after 3-4.5 hours after onset, which can lead to worsening patient's condition if not treated quickly. Prehospital delay influenced by various factors, the aim of this study was to determine the factors of prehospital delay in stroke patients.This study was done with scoping review method by using Google Scholar, Pubmed, Sciencedirect, Ebsco and Researchgate database. The steps of this study consisted of: 1) Questions Identification, 2) Articles Identification, 3) Articles Screening, 4) Data Mapping, 5) Results Compilation, and 6) consultation. 1599 articles were selected based on titles, abstracts, contents, and results according to the inclusion criteria and objectives of this literature study. The screening results were translated into a literature review chart so that 13 articles were obtained and were further analyzed using JBI Critical Appraisal. Inclusion criteria defined were: full text articles, focus of discussion on factors of prehospital delay in stroke patients, as well as population and samples of stroke patients that were over 18 years and/or their family. This scoping review showed factors that affected prehospital delay in stroke patients were respondent characteristics, distance traveled, stroke symptoms, transportation system, treatment facility, and stroke awareness. An effective transportation system, proper recognition of stroke symptoms, good stroke awareness supported by education and income levels can prevent prehospital delay in stroke patients. However, further research is needed to thoroughly examine the effect these factors on the prehospital delay in stroke patients. Keyword: Adult Stroke, Prehospital Delay, Stroke PatientsBibliography : 77, 1978-2020

Impact of a health campaign on Chinese public awareness of stroke: evidence from internet search data

IntroductionHealth campaigns have the potential to improve public awareness, but their impact can be difficult to assess. Internet search data provide information concerning online health information-seeking behaviour in the population...

Awareness of Risk factor and Warning symptoms of Stroke among patients with hypertension at Tertiary care hospital of South India

Introduction: High blood pressure, also termed as hypertension is a condition that afflicts almost 1 billion people worldwide and is a leading cause of mortality and morbidity. Therefore, this disease is often referred as a “Silent Killer.” In most of the instances, this disease remains asymptomatic until severe to express as one of the following outcomes: stroke, myocardial infarction, renal dysfunction, visual problems and others. Thus, hypertension is affirmed as the major risk factor for stroke, coronary artery disease and myocardial infarction. High blood pressure is one of the most common causes of stroke as it strains blood vessel walls causing them to thicken and deteriorate. Aim: To Assess the awareness of risk factors, symptoms of stroke among hypertensive patients and associate the awareness of risk factors and symptoms stroke with selected variables. Methods: a non-experimental descriptive research design was used in this study. the study was conducted among 300 samples of all the hypertensive patients admitted in Sri Ramachandra hospital and the patients who come for OPD during the study period. Purposive sampling technique is used for the study. The instrument used for this study has 3 components demographic data, self structured questionnaire on risk factors of stroke and self structured questionnaire on symptoms of stroke. Data were collected and analyzed using descriptive and inferential statistics. Findings: With related symptoms severity reveals that majority of the sample 220(73.3%) had poor knowledge and 58(19.3%) had moderate knowledge and 4(1.3%) had good knowledge risk factors Reveals that majority of the sample 156 (52.0%) had poor knowledge and 109(36.3%) had poor knowledge 109 (36.3%) had moderate knowledge and 10(3.3%) had good knowledge. The mean and standard deviation of awareness of risk factors and symptoms of stroke among patient with hypertension was and there was no significant association between any patient with hypertension and selected demographic variables. Conclusion: The study concluded that majority of the samples had poor knowledge on risk factors and symptoms of stoke among hypertensive patients. Here the health care team members need create awareness among public in order reduce the morbidity and mortality rate of stroke.