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Low Diastolic Blood Pressure Predicts Good Clinical Outcome in Patients With Cerebral Venous Thrombosis.

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收录情况： ◇ SCIE

作者：
Li Min[1,2] * ; Pan Liqun[1] * ; Gao Xiaogang[3] ; Hou Jiaojiao[4] ; Meng Ran[1,2] ; Ji Xunming[2,5] ;
机构： [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China [3]Department of Medicine, Tianjin Huanhu Hospital, Tianjin, China [4]Department of Neurology, Rongcheng City People’s Hospital, Baoding, China [5]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China
出处：
DOI： 10.3389/fneur.2021.649573
ISSN：

关键词： blood pressure intracranial hypertension severity prognosis cerebral venous thrombosis (CVT)

摘要：
Background: Cerebral venous thrombosis (CVT) refers to a stroke subtype characterized by the disturbance of cerebral venous outflow caused by venous thrombosis. Previous studies have reported a range of factors that predict the prognosis of CVT. This study is aimed to find out whether systolic blood pressure (SBP) and diastolic blood pressure (DBP) are suitable as potential indicators of the severity and clinical outcome in CVT patients. Methods: The CVT patients admitted to Xuanwu Hospital from January 2014 to December 2019 were enrolled. The severity of CVT was assessed by the National Institute of Health Stroke Scale (NIHSS) and intracranial pressure (ICP) at the time of admission. The modified Rankin score (mRS) was assessed at 6 months of follow-up. Results: One hundred fifty-six CVT patients were enrolled with a mean age of 35.8 ± 12.8 years. A percentage of 55.8% of the CVT patients recruited were female, and 17.3% were either pregnant or in perinatal period. Headache was the most common symptom. SBP and DBP were not correlated with NIHSS at admission. Furthermore, SBP and DBP had no impact on the disturbance of consciousness, epilepsy, intracranial hemorrhage, and mental disorders. However, SBP and DBP were positively correlated with ICP at admission. SBP > 129.5 mmHg and/or DBP > 77.5 mmHg suggested the presence of intracranial hypertension (IH). Based on current results, SBP was not correlated with mRS at 6 months of follow-up. However, DBP was found to be positively correlated with mRS at 6 months of follow-up. DBP in CVT patients with good prognosis was significantly lower than in those with poor prognosis. DBP > 79.5 mmHg was identified as a cutoff value to predict a poor clinical outcome. A higher mRS and a higher rate of poor clinical outcome were found in CVT patients with SBP > 146 mmHg or DBP > 79.5 mmHg compared to those with SBP ≤ 146 mmHg or DBP ≤ 79.5 mmHg. Conclusion: SBP > 129.5 mmHg and DBP > 77.5 mmHg suggested the presence of IH in CVT patients. DBP > 79.5 mmHg predicted a poor clinical outcome.Copyright © 2021 Li, Pan, Gao, Hou, Meng and Ji.

基金：
the National Key R&D Program (2017YFC1308401), the National Natural Science Foundation (81371289) and the Project of Beijing Municipal Top Talent of Healthy Work of China. This study was also funded by the Natural Science Foundation of Beijing Municipality (7212047). The grant number of Project of Beijing Municipal Top Talent of Healthy Work is 2014-2-015.
语种：
外文
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PubmedID：
中科院(CAS)分区：
出版当年[2020]版：
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 神经科学
最新[2023]版：
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 神经科学
JCR分区：
出版当年[2019]版：
Q2 CLINICAL NEUROLOGY Q3 NEUROSCIENCES
最新[2023]版：
Q2 CLINICAL NEUROLOGY Q3 NEUROSCIENCES

影响因子： 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

第一作者：
第一作者机构： [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China
共同第一作者：
通讯作者：
通讯机构： [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China [5]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714)：
Li Min,Pan Liqun,Gao Xiaogang,et al.Low Diastolic Blood Pressure Predicts Good Clinical Outcome in Patients With Cerebral Venous Thrombosis.[J].FRONTIERS IN NEUROLOGY.2021,12:649573.doi:10.3389/fneur.2021.649573.
APA：
Li Min,Pan Liqun,Gao Xiaogang,Hou Jiaojiao,Meng Ran&Ji Xunming.(2021).Low Diastolic Blood Pressure Predicts Good Clinical Outcome in Patients With Cerebral Venous Thrombosis..FRONTIERS IN NEUROLOGY,12,
MLA：
Li Min,et al."Low Diastolic Blood Pressure Predicts Good Clinical Outcome in Patients With Cerebral Venous Thrombosis.".FRONTIERS IN NEUROLOGY 12.(2021):649573

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