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Stroke: Blood pressure goal for the first 6 hours after endovascular treatment

 Last Update: 2021-12-26
 Source: Internet
 Author: User

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In the first 24 hours after a stroke, blood pressure usually rises, even after endovascular treatment (EVT), and it takes several days to return to baseline levels
.

It has been proved that the blood pressure at admission is closely related to the functional outcome after EVT

In November 2021, Noor Samuels and others from the Netherlands used data from the MR CLEAN Registry to evaluate the correlation between SBP and functional outcome and sICH within 6 hours after EVT
.

In November 2021, Noor Samuels and others from the Netherlands used data from the MR CLEAN Registry to evaluate the correlation between SBP and functional outcome and sICH within 6 hours after EVT

The researchers analyzed patient data from 8 centers in the MR CLEAN registration study, and SBP data for these patients within 6 hours after EVT is available
.

The researchers assessed the maximum, minimum, and average systolic blood pressure

Among 1796 patients, 1161 patients had SBP data available after EVT
.

Higher maximum SBP (per 10 mmHg increase) and worse functional outcome (adjusted common OR, 0.

The relationship between minimum SBP and functional outcome is non-linear, with an inflection point of 124mmHg
.

The minimum SBP below or above the inflection point is associated with poorer functional outcomes (adjusted common OR, 0.

In the end, the author believes that the maximum SBP within 6 hours after EVT is positively correlated with worse functional outcome and increased risk of sICH
.

The lower or higher the minimum SBP, the worse the outcome

Original source:

Blood Pressure in the First 6 Hours Following Endovascular Treatment for Ischemic Stroke Is Associated With Outcome .

Blood Pressure in the First 6 Hours Following Endovascular Treatment for Ischemic Stroke Is Associated With Outcome in this message

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