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Association between High-Sensitivity C-Reactive Protein and Blood Pressure Variability in Subacute Stage of Ischemic Stroke

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机构: [1]Department of Neurology, The Fourth Affiliated Hospital of China Medical University, Shenyang 110032, China. [2]Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing 100053, China. [3]Department of Epidemiology, School of Public Health, China Medical University, Shenyang 110122, China.
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关键词: cerebrovascular diseases ischemic stroke blood pressure variability high-sensitivity C-reactive protein

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The determinants of blood pressure variability (BPV) are complex. We aimed to evaluate whether circulating high-sensitivity C-reactive protein (hsCRP) is associated with short-term BPV during the subacute stage of ischemic stroke. In this observational study, a consecutive series of acute ischemic stroke patients who underwent 24 h ambulator blood pressure monitoring (ABPM) during day 4 to 10 after onset were enrolled. Multivariable linear regression models were constructed to assess relationships between hsCRP and BPV. Among a total of 325 patients analyzed, the mean age was 60 years old and 72% were male. The SD, CV, ARV of 24 h SBP and DBP were more likely to be higher in patients with hsCRP ≥ 2 mg/L, and these predispositions remained unchanged in linear regression analyses after adjusting for possible confounding factors, with a dose-response relationship when patients were additionally categorized into quartiles according to hsCRP levels using the lowest quartile as a reference category. In contrast, similar results were observed for the mean of SBP but not the mean of DBP. These results indicate that hsCRP is dose-dependently associated with short-term BPV during the subacute stage of ischemic stroke. These findings suggested that patients with a higher level of hsCRP tended to have larger blood pressure fluctuations.

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出版当年[2022]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 神经科学
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Q3 NEUROSCIENCES
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Q3 NEUROSCIENCES

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第一作者机构: [1]Department of Neurology, The Fourth Affiliated Hospital of China Medical University, Shenyang 110032, China.
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