Visit-to-visit blood pressure variability predicts long-term stroke recurrence in patients w ith ischemic stroke:a prospective case series study
10.3760/cma.j.issn.1673-4165.2018.02.003
- VernacularTitle:随访间血压变异性预测缺血性卒中患者远期卒中复发:前瞻性病例系列研究
- Author:
Weicheng ZHENG
1
;
Zhu SHI
;
Shufang ZENG
;
Shuen LI
;
Xiaoli FU
Author Information
1. 523018,东莞市人民医院神经内科
- Keywords:
Stroke;
Brain Ischemia;
Hypertension;
Blood Pressure;
Recurrence;
Risk Factors;
Time Factors
- From:
International Journal of Cerebrovascular Diseases
2018;26(2):119-123
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the correlation betw een visit-to-visit blood pressure variability and long-term stroke recurrence in patients w ith ischemic stroke. Methods Consecutive patients w ith first-ever acute ischemic stroke w ere registered. The demographic and clinical data w ere documented. The patients w ere follow ed up every month after discharge. Visit-to-visit blood pressure w as measured, and its mean value and blood pressure variability parameters w ere calculated.A 12-month follow-up period w as completed and the recurrent stroke events w ere documented.Univariate analysis w as used to compare the demographic and clinical data in the recurrent and non-recurrent groups.Multivariate logistic regression analysis w as used to identify the correlation betw een visit-to-visit blood pressure variability and stroke recurrence. Results A total of 556 patients completed the follow-up, including 62 (11.2%) w ith recurrent stroke. The standard deviation (16.5 ±4.7 mmHg vs.13.4 ±4.2 mmHg, 1 mmHg=0.133 kPa; t=1.953, P=0.042) and coefficient of variation (11.9 ±3.1 vs.9.8 ±2.4; t=2.287, P=0.001) of visit-to-visit systolic blood pressure in the recurrent group w ere significantly higher than those in the non-recurrent group.Multivariable logistic regression analysis show ed that visit-to-visit coefficient of variation of systolic pressure w as independently associated w ith stroke recurrence (odds ratio 1.305,95% confidence interval 1.004-7.491;P=0.017). Conclusion The visit-to-visit blood pressure variability w as independently associated w ith long-term stroke recurrence in patients w ith acute ischemic stroke.
