Low blood pressure during the acute period of ischemic stroke is associated with decreased survival

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064190%3A_____%2F15%3A%230001070" target="_blank" >RIV/00064190:_____/15:#0001070 - isvavai.cz</a>

Alternative codes found

RIV/00159816:_____/15:00061247 RIV/00216208:11110/15:10291203 RIV/00216208:11140/15:10291203 RIV/00669806:_____/15:10291203 RIV/00023001:_____/15:00059218

Result on the web

<a href="http://dx.doi.org/10.1097/HJH.0000000000000414" target="_blank" >http://dx.doi.org/10.1097/HJH.0000000000000414</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/HJH.0000000000000414" target="_blank" >10.1097/HJH.0000000000000414</a>

Result language

angličtina

Original language name

Low blood pressure during the acute period of ischemic stroke is associated with decreased survival

Original language description

Objectives: There is no agreement on optimal blood pressure (BP) level during the acute phase of stroke, because studies on the relation between BP and stroke outcome have shown contradicting results. The aim of this study was to compare the relationship of admission, maximal, discharge BP and its components during hospitalization for the first-ever acute ischemic stroke with total mortality after stroke. Methods: In 532 consecutive patients (mean age 66 +/- 10 years, 59% of men) hospitalized for their first-ever ischemic stroke, the association between BP and total mortality during a median follow-up of 66 weeks (interquartile range 33-119 weeks) was analyzed. Results: In multivariate analysis, both admission mean BP (MBP) and discharge SBP quartiles were independent predictors of mortality and outperformed other parameters of BP. After multivariate adjustments, patients with admission MBP below 100mmHg had a higher risk of death than those with MBP between 100-110 and 110-121 mmHg, whereas the risk of mortality did not differ from the group with admission MBP above 122 mmHg. Similarly, patients with discharge SBP below 120mmHg had an increased risk of death as compared to groups with SBP between 120-130 and 130-141 mmHg, whereas the risk of death was similar to that with discharge SBP above 141 mmHg. Conclusion: Among patients hospitalized for their firstever ischemic stroke, the risk of all-cause death is significantly increased in those with admission MBP below 100 mmHg and discharge SBP below 120 mmHg, even after adjustments for other confounders.

Czech name

—

Czech description

—

Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FA - Cardiovascular diseases including cardio-surgery

OECD FORD branch

—

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2015

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

JOURNAL OF HYPERTENSION

ISSN

0263-6352

e-ISSN

—

Volume of the periodical

33

Issue of the periodical within the volume

2

Country of publishing house

US - UNITED STATES

Number of pages

7

Pages from-to

339-345

UT code for WoS article

000347396100020

EID of the result in the Scopus database

—