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Blood pressure fluctuation pattern and stroke outcomes in acute ischemic stroke

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资源类型：

收录情况： ◇ SCIE

作者：
Jie Xu[1,2,3,4] * ; Ying Liu[1,2,3,4] * ; Anxin Wang[1,2,3,4] ; Yuan Gao[5] ; Yilong Wang[1,2,3,4] ; Yongjun Wang[1,2,3,4] ;
机构： [1]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [2]China National Clinical Research Center for Neurological Diseases, Beijing, China [3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China [4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, China [5]Department of Neurology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
出处：
DOI： 10.1038/s41440-019-0292-9
ISSN：

关键词： Acute stroke Blood pressure Ischemic stroke Outcome

摘要：
Blood pressure (BP) fluctuates widely during the acute phase of stroke. Compared to single BP assessment, patterns of BP over time may have greater power in predicting stroke outcome. This study aims to investigate the effect of BP fluctuation patterns on stroke outcomes in acute ischemic stroke (IS) patients. IS patients within 24 h of onset registered in the BOSS registry between 2012 and 2014 were analyzed. Fluctuation of BP was predefined as the change trend in systolic BP (SBP) from Day 1 to Day 7 after onset and was used to divide patients into groups with sustained high SBP (≥160 mmHg) during the first 7 days (C1); rapid (C2: within the first 2 days) or delayed (C3: after 2 days) decline from high (≥160 mmHg) to low (<160 mmHg); consistently low SBP (C4); and elevation from low to high (C5). The primary stroke outcome was defined as a modified Rankin Scale score ≥3 at 3 months after onset. Of 1,095 IS patients, C1 (n = 90) had the highest risk of poor outcome (23.3%), while C2 (n = 198, risk = 11.6%) and C4 (n = 650, risk = 12.2%) had the lowest risk. C2 and C4 had a significant reduction in poor outcome risk when compared to C1, even after adjustment for average BP and BP variability (BPV) during the first 7 days (adjusted odds ratio[OR]C2 = 0.32, 95% CI: 0.12–0.80; ORC4 = 0.37, 95% CI: 0.14–0.97). The BP fluctuation pattern in the acute phase of IS might be a useful predictive parameter for functional outcome independent of average BP and BPV. © 2019, The Japanese Society of Hypertension.

基金：
Funding This study was supported by grants from the Ministry of Science and Technology of the People’s Republic of China (2006BAI01A11, 2011BAI08B01, 2011BAI08B02, 2012ZX09303-005-001, and 2013BAI09B03), a grant from the Beijing Biobank of Cerebral Vascular Disease (D131100005313003), a grant from Beijing Institute for Brain Disorders (BIBDPXM2013_014226_07_000084), a grant from the National Natural Science Foundation of China (No. 81322019), a grant from Beijing Municipal Science and Technology Commission (No. Z141107002514125 and No. D131100002313002), a grant from Beijing Municipal Commission of Health and Family Planning (No. 2016-1-2041), and a grant from Beijing Municipal Administration of Hospitals’ Youth Programme (QML2015 0504).
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2018]版：
大类 | 2 区 医学
小类 | 3 区 外周血管病
最新[2023]版：
大类 | 2 区 医学
小类 | 3 区 外周血管病
JCR分区：
出版当年[2017]版：
Q1 PERIPHERAL VASCULAR DISEASE
最新[2023]版：
Q1 PERIPHERAL VASCULAR DISEASE

影响因子： 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者：
第一作者机构： [1]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [2]China National Clinical Research Center for Neurological Diseases, Beijing, China [3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China [4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, China
共同第一作者：
通讯作者：
通讯机构： [1]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [2]China National Clinical Research Center for Neurological Diseases, Beijing, China [3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China [4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, China
推荐引用方式(GB/T 7714)：
Jie Xu,Ying Liu,Anxin Wang,et al.Blood pressure fluctuation pattern and stroke outcomes in acute ischemic stroke[J].HYPERTENSION RESEARCH.2019,doi:10.1038/s41440-019-0292-9.
APA：
Jie Xu,Ying Liu,Anxin Wang,Yuan Gao,Yilong Wang&Yongjun Wang.(2019).Blood pressure fluctuation pattern and stroke outcomes in acute ischemic stroke.HYPERTENSION RESEARCH,,
MLA：
Jie Xu,et al."Blood pressure fluctuation pattern and stroke outcomes in acute ischemic stroke".HYPERTENSION RESEARCH .(2019)

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