CORRELATION OF HYPERTENSION DEGREE BASED ON CHEST X RAY WITH STROKE ON HEAD CT SCAN

Stroke is a disease caused by disruption of blood flow in the brain, which can cause death. The definition of stroke, according to WHO (World Health Organization), is a disorder that occurs in brain function with clinical signs that last for a long time, namely more than 24 hours. From 1990-2019, there was an increase in the incidence of stroke by 70%, an increase in deaths from stroke by 43%, an increase in the prevalence of stroke by 102%, and an increase in Disability Adjusted Life Years (DALY) by 143%. Hypertension is a significant risk factor for stroke, causing damage to the aortic wall and accelerating the aging process of the aorta. This prolonged increase in resistance causes an increase in the pressure load on the heart, and structural changes that occur cause cardiomegaly. This study aims to obtain a relationship between the degree of hypertension based on chest x-ray (CXR) in hypertensive patients with the type of stroke and the location of the lesion on the CT-Scan (Computed Tomography Scan) of the head. This observational quantitative analytical study with a cross-sectional design using Spearman Kendall's correlation statistical test with 100 samples. Results: Correlation test of the degree of hypertension based on CXR with the incidence of Ischemic Stroke (IS) and Hemorrhagic Stroke (HS) with p-value 0.021 and r: 0.520 (moderate Correlation), correlation test of CXR hypertension degree with lesion location in SH obtained p-value results 0.000 (p<0.05) with r = 0.690 (strong Correlation) and in SI obtained p-value results 0.033 (p<0.05) with r = 0.856 (robust Correlation). The Correlation of hypertension degree based on CXR with stroke type, SH location, and SI based on head CT-Scan, respectively, showed moderate, strong, and powerful correlation strengths.