Blood Pressure Variability in Acute Ischemic Stroke: The Role of Early Recanalization
We performed a retrospective study with the aim of investigating the association between blood pressure (BP) variability in the first 24 h after ischemic stroke and functional outcome, regarding arterial recanalization status. A total of 674 patients diagnosed with acute stroke and treated with reva...
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Veröffentlicht in: | European neurology 2018-01, Vol.80 (1-2), p.63-67 |
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creator | Martins, Ana Inês Sargento-Freitas, João Jesus-Ribeiro, Joana Correia, Inês Cardoso, Leila Gomes, João Pedro Gonçalves, Mariana Costa, Rui Silva, Fernando Galego, Orlando Nunes, César Beato-Coelho, José Varela, Ricardo Machado, Cristina Rodrigues, Bruno Santo, Gustavo C. Cunha, Luís |
description | We performed a retrospective study with the aim of investigating the association between blood pressure (BP) variability in the first 24 h after ischemic stroke and functional outcome, regarding arterial recanalization status. A total of 674 patients diagnosed with acute stroke and treated with revascularization therapies were enrolled. Systolic and diastolic BP values of the first 24 h after stroke were collected and their variation quantified through standard deviation. Recanalization state was evaluated at 6 h and clinical outcome at 3 months was assessed by modified Rankin Scale. In multivariate analyses systolic BP variability in the first 24 h post-stroke showed an association with 3 months clinical outcome in the whole population and non-recanalyzed patients. In recanalyzed patients, BP variability did not show a significant association with functional outcome. |
doi_str_mv | 10.1159/000492627 |
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A total of 674 patients diagnosed with acute stroke and treated with revascularization therapies were enrolled. Systolic and diastolic BP values of the first 24 h after stroke were collected and their variation quantified through standard deviation. Recanalization state was evaluated at 6 h and clinical outcome at 3 months was assessed by modified Rankin Scale. In multivariate analyses systolic BP variability in the first 24 h post-stroke showed an association with 3 months clinical outcome in the whole population and non-recanalyzed patients. In recanalyzed patients, BP variability did not show a significant association with functional outcome.</description><identifier>ISSN: 0014-3022</identifier><identifier>EISSN: 1421-9913</identifier><identifier>DOI: 10.1159/000492627</identifier><identifier>PMID: 30227441</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>Aged ; Aged, 80 and over ; Blood Pressure - physiology ; Brain Ischemia - physiopathology ; Brain Ischemia - therapy ; Endovascular Procedures - methods ; Female ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Recovery of Function ; Research Article ; Retrospective Studies ; Stroke - physiopathology ; Stroke - therapy ; Treatment Outcome</subject><ispartof>European neurology, 2018-01, Vol.80 (1-2), p.63-67</ispartof><rights>2018 S. Karger AG, Basel</rights><rights>2018 S. Karger AG, Basel.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-d348637b9bb7b2c89b175984827d81fad1030b0ab280da048b4b341fa6517a953</citedby><orcidid>0000-0002-0209-3146</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,2423,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30227441$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martins, Ana Inês</creatorcontrib><creatorcontrib>Sargento-Freitas, João</creatorcontrib><creatorcontrib>Jesus-Ribeiro, Joana</creatorcontrib><creatorcontrib>Correia, Inês</creatorcontrib><creatorcontrib>Cardoso, Leila</creatorcontrib><creatorcontrib>Gomes, João Pedro</creatorcontrib><creatorcontrib>Gonçalves, Mariana</creatorcontrib><creatorcontrib>Costa, Rui</creatorcontrib><creatorcontrib>Silva, Fernando</creatorcontrib><creatorcontrib>Galego, Orlando</creatorcontrib><creatorcontrib>Nunes, César</creatorcontrib><creatorcontrib>Beato-Coelho, José</creatorcontrib><creatorcontrib>Varela, Ricardo</creatorcontrib><creatorcontrib>Machado, Cristina</creatorcontrib><creatorcontrib>Rodrigues, Bruno</creatorcontrib><creatorcontrib>Santo, Gustavo C.</creatorcontrib><creatorcontrib>Cunha, Luís</creatorcontrib><title>Blood Pressure Variability in Acute Ischemic Stroke: The Role of Early Recanalization</title><title>European neurology</title><addtitle>Eur Neurol</addtitle><description>We performed a retrospective study with the aim of investigating the association between blood pressure (BP) variability in the first 24 h after ischemic stroke and functional outcome, regarding arterial recanalization status. A total of 674 patients diagnosed with acute stroke and treated with revascularization therapies were enrolled. Systolic and diastolic BP values of the first 24 h after stroke were collected and their variation quantified through standard deviation. Recanalization state was evaluated at 6 h and clinical outcome at 3 months was assessed by modified Rankin Scale. In multivariate analyses systolic BP variability in the first 24 h post-stroke showed an association with 3 months clinical outcome in the whole population and non-recanalyzed patients. In recanalyzed patients, BP variability did not show a significant association with functional outcome.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Pressure - physiology</subject><subject>Brain Ischemia - physiopathology</subject><subject>Brain Ischemia - therapy</subject><subject>Endovascular Procedures - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Recovery of Function</subject><subject>Research Article</subject><subject>Retrospective Studies</subject><subject>Stroke - physiopathology</subject><subject>Stroke - therapy</subject><subject>Treatment Outcome</subject><issn>0014-3022</issn><issn>1421-9913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0M1PwjAYBvDGaATRg3djmnjRw7RfW1dvSKaSEDUIXpd266QyVmy3A_71jgw5eWrevr88b_IAcI7RLcahuEMIMUEiwg9AHzOCAyEwPQR9hDALKCKkB068_2rHUPD4GPS2f5wx3Afzh9LaHL457X3jNPyQzkhlSlNvoKngMGtqDcc-W-iVyeB77exS38PZQsOpLTW0BUykKzdwqjNZydL8yNrY6hQcFbL0-mz3DsD8MZmNnoPJ69N4NJwEGRVRHeSUxRHlSijFFclioTAPRcxiwvMYFzLHiCKFpCIxyiVisWKKsnYRhZhLEdIBuO5y185-N9rX6cr4TJelrLRtfEowJSRiiIuW3nQ0c9Z7p4t07cxKuk2KUbptMd232NrLXWyjVjrfy7_aWnDVgaV0n9rtQfKSdBHpOi9adfGv2l35BdvAf7E</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Martins, Ana Inês</creator><creator>Sargento-Freitas, João</creator><creator>Jesus-Ribeiro, Joana</creator><creator>Correia, Inês</creator><creator>Cardoso, Leila</creator><creator>Gomes, João Pedro</creator><creator>Gonçalves, Mariana</creator><creator>Costa, Rui</creator><creator>Silva, Fernando</creator><creator>Galego, Orlando</creator><creator>Nunes, César</creator><creator>Beato-Coelho, José</creator><creator>Varela, Ricardo</creator><creator>Machado, Cristina</creator><creator>Rodrigues, Bruno</creator><creator>Santo, Gustavo C.</creator><creator>Cunha, Luís</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0209-3146</orcidid></search><sort><creationdate>20180101</creationdate><title>Blood Pressure Variability in Acute Ischemic Stroke: The Role of Early Recanalization</title><author>Martins, Ana Inês ; Sargento-Freitas, João ; Jesus-Ribeiro, Joana ; Correia, Inês ; Cardoso, Leila ; Gomes, João Pedro ; Gonçalves, Mariana ; Costa, Rui ; Silva, Fernando ; Galego, Orlando ; Nunes, César ; Beato-Coelho, José ; Varela, Ricardo ; Machado, Cristina ; Rodrigues, Bruno ; Santo, Gustavo C. ; Cunha, Luís</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-d348637b9bb7b2c89b175984827d81fad1030b0ab280da048b4b341fa6517a953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Pressure - physiology</topic><topic>Brain Ischemia - physiopathology</topic><topic>Brain Ischemia - therapy</topic><topic>Endovascular Procedures - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Recovery of Function</topic><topic>Research Article</topic><topic>Retrospective Studies</topic><topic>Stroke - physiopathology</topic><topic>Stroke - therapy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martins, Ana Inês</creatorcontrib><creatorcontrib>Sargento-Freitas, João</creatorcontrib><creatorcontrib>Jesus-Ribeiro, Joana</creatorcontrib><creatorcontrib>Correia, Inês</creatorcontrib><creatorcontrib>Cardoso, Leila</creatorcontrib><creatorcontrib>Gomes, João Pedro</creatorcontrib><creatorcontrib>Gonçalves, Mariana</creatorcontrib><creatorcontrib>Costa, Rui</creatorcontrib><creatorcontrib>Silva, Fernando</creatorcontrib><creatorcontrib>Galego, Orlando</creatorcontrib><creatorcontrib>Nunes, César</creatorcontrib><creatorcontrib>Beato-Coelho, José</creatorcontrib><creatorcontrib>Varela, Ricardo</creatorcontrib><creatorcontrib>Machado, Cristina</creatorcontrib><creatorcontrib>Rodrigues, Bruno</creatorcontrib><creatorcontrib>Santo, Gustavo C.</creatorcontrib><creatorcontrib>Cunha, Luís</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martins, Ana Inês</au><au>Sargento-Freitas, João</au><au>Jesus-Ribeiro, Joana</au><au>Correia, Inês</au><au>Cardoso, Leila</au><au>Gomes, João Pedro</au><au>Gonçalves, Mariana</au><au>Costa, Rui</au><au>Silva, Fernando</au><au>Galego, Orlando</au><au>Nunes, César</au><au>Beato-Coelho, José</au><au>Varela, Ricardo</au><au>Machado, Cristina</au><au>Rodrigues, Bruno</au><au>Santo, Gustavo C.</au><au>Cunha, Luís</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blood Pressure Variability in Acute Ischemic Stroke: The Role of Early Recanalization</atitle><jtitle>European neurology</jtitle><addtitle>Eur Neurol</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>80</volume><issue>1-2</issue><spage>63</spage><epage>67</epage><pages>63-67</pages><issn>0014-3022</issn><eissn>1421-9913</eissn><abstract>We performed a retrospective study with the aim of investigating the association between blood pressure (BP) variability in the first 24 h after ischemic stroke and functional outcome, regarding arterial recanalization status. 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subjects | Aged Aged, 80 and over Blood Pressure - physiology Brain Ischemia - physiopathology Brain Ischemia - therapy Endovascular Procedures - methods Female Humans Male Middle Aged Multivariate Analysis Recovery of Function Research Article Retrospective Studies Stroke - physiopathology Stroke - therapy Treatment Outcome |
title | Blood Pressure Variability in Acute Ischemic Stroke: The Role of Early Recanalization |
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