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Vessels within the stroke high blood pressure variability associated with poor prognosis after treatment
.
Traditional blood pressure variability measurement methods require long-term records, which limits their usefulness as risk assessment tools to guide clinical decision-making
Vascular Stroke
Recently, a research article was published in Stroke, an authoritative journal in the field of cardiovascular diseases.
In this study, researchers conducted a rapid assessment of blood pressure variability through spectral analysis, and evaluated its relationship with early clinical improvement and long-term functional outcome.
Correlation between
.
Researchers conducted a prospective study of 146 patients with anterior circulation ischemic stroke who received successful endovascular stroke treatment
.
Researchers performed spectrum analysis on blood pressure recorded for 5 minutes to quantify blood pressure variability
Increased blood pressure variability in the high-frequency area and the 90-day adverse functional outcome (adjusted odds ratio [aOR] is 1.
85 [95% CI 1.
07-3.
25], P=0.
03; low-frequency/high-frequency ratio aOR is 0.
67 [95% CI is 0.
46–0.
92], P=0.
02) and the probability of early neurological recovery is reduced (aOR is 0.
62 [95%CI is 0.
44–0.
91], P=0.
01 and aOR is 1.
37 [95%CI is 1.
03–1.
87], P =0.
04) Independently related
.
It can be seen that the blood pressure variability in the high-frequency domain after successful reperfusion may be harmful, and is related to the reduced probability of neurological recovery and favorable functional outcomes
.
It is feasible to quickly assess blood pressure variability throughout the reperfusion period, and more personalized blood pressure management is possible
The variability of blood pressure in the high-frequency domain after successful reperfusion may be harmful and is associated with a reduced probability of neurological recovery and favorable functional outcomes
Original source:
Pedro Castro.
