Blood Pressure Variability during Angiography in Patients with Ischemic Stroke and Intracranial Artery Stenosis
Our aim was to investigate factors predicting blood pressure (BP) variability during diagnostic cerebral angiography and associations between BP variability and clinical outcomes in patients with acute and subacute ischemic stroke and intracranial artery stenosis. 114 patients with ischemic stroke a...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2020/6214581 |
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| author | Hui Pan Rong Zhao Feng-Di Liu Yi-Lan Wu Ge-Fei Li Yan-Hui Shi Yi-Sheng Liu Ying Zhao Mei-Ting Zhuang Tian-Yu Hou Qi-Ting Zhang Qian Yao Yuan Qiao Rui-Jue Huang Li-Na Chen Yi-Min Zhu Liang Shu Jing-Jing Su Jie Fang Xue-Mei Tang Shuo Wang Guo-Hong Cui David Z. Wang Jian-Ren Liu |
| author_facet | Hui Pan Rong Zhao Feng-Di Liu Yi-Lan Wu Ge-Fei Li Yan-Hui Shi Yi-Sheng Liu Ying Zhao Mei-Ting Zhuang Tian-Yu Hou Qi-Ting Zhang Qian Yao Yuan Qiao Rui-Jue Huang Li-Na Chen Yi-Min Zhu Liang Shu Jing-Jing Su Jie Fang Xue-Mei Tang Shuo Wang Guo-Hong Cui David Z. Wang Jian-Ren Liu |
| author_sort | Hui Pan |
| collection | DOAJ |
| description | Our aim was to investigate factors predicting blood pressure (BP) variability during diagnostic cerebral angiography and associations between BP variability and clinical outcomes in patients with acute and subacute ischemic stroke and intracranial artery stenosis. 114 patients with ischemic stroke and intracranial artery stenosis (stenosis rate >50%) were recruited. Patients who underwent cerebral angiography within 3 days and 3–14 days of disease onset are referred to be Group A and Group S, respectively. BP variability in Group A was defined as the coefficient of variance (CV) of BP. Univariate and multivariate regression analyses were used to identify predictors of CV of BP and associations between CV of BP and clinical outcomes at discharge. In Group A patients, advanced age was associated with increased CV of SBP and diastolic blood pressure (DBP), and antihypertensive use was associated with lower CV of SBP. Male was associated with lower CV of DBP. In Group S, higher CV of SBP was associated with hypertension and antihypertensive use. Males had lower CV of SBP than females. The calcium channel blocker was associated with lower CV of DBP. Higher scores of the Stroke Scale at admission were significantly associated with poor clinical outcomes for both groups, while BP variability was not. Factors associated with BP variability are significantly different between stroke patients undergoing angiography within 3 days vs. 3–14 days after disease onset. BP variability is not significantly associated with clinical outcomes at discharge. |
| format | Article |
| id | doaj-art-95cb18b1390a46ddaa129a1f2ac988e1 |
| institution | Kabale University |
| issn | 2090-0384 2090-0392 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj-art-95cb18b1390a46ddaa129a1f2ac988e12025-02-03T05:51:47ZengWileyInternational Journal of Hypertension2090-03842090-03922020-01-01202010.1155/2020/62145816214581Blood Pressure Variability during Angiography in Patients with Ischemic Stroke and Intracranial Artery StenosisHui Pan0Rong Zhao1Feng-Di Liu2Yi-Lan Wu3Ge-Fei Li4Yan-Hui Shi5Yi-Sheng Liu6Ying Zhao7Mei-Ting Zhuang8Tian-Yu Hou9Qi-Ting Zhang10Qian Yao11Yuan Qiao12Rui-Jue Huang13Li-Na Chen14Yi-Min Zhu15Liang Shu16Jing-Jing Su17Jie Fang18Xue-Mei Tang19Shuo Wang20Guo-Hong Cui21David Z. Wang22Jian-Ren Liu23Department of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Epidemiology and Biostatistics, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaDepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaOSF/INI Comprehensive Stroke Center, Department of Neurology, University of Illinois College of Medicine Peoria, Peoria, IL, USADepartment of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, ChinaOur aim was to investigate factors predicting blood pressure (BP) variability during diagnostic cerebral angiography and associations between BP variability and clinical outcomes in patients with acute and subacute ischemic stroke and intracranial artery stenosis. 114 patients with ischemic stroke and intracranial artery stenosis (stenosis rate >50%) were recruited. Patients who underwent cerebral angiography within 3 days and 3–14 days of disease onset are referred to be Group A and Group S, respectively. BP variability in Group A was defined as the coefficient of variance (CV) of BP. Univariate and multivariate regression analyses were used to identify predictors of CV of BP and associations between CV of BP and clinical outcomes at discharge. In Group A patients, advanced age was associated with increased CV of SBP and diastolic blood pressure (DBP), and antihypertensive use was associated with lower CV of SBP. Male was associated with lower CV of DBP. In Group S, higher CV of SBP was associated with hypertension and antihypertensive use. Males had lower CV of SBP than females. The calcium channel blocker was associated with lower CV of DBP. Higher scores of the Stroke Scale at admission were significantly associated with poor clinical outcomes for both groups, while BP variability was not. Factors associated with BP variability are significantly different between stroke patients undergoing angiography within 3 days vs. 3–14 days after disease onset. BP variability is not significantly associated with clinical outcomes at discharge.http://dx.doi.org/10.1155/2020/6214581 |
| spellingShingle | Hui Pan Rong Zhao Feng-Di Liu Yi-Lan Wu Ge-Fei Li Yan-Hui Shi Yi-Sheng Liu Ying Zhao Mei-Ting Zhuang Tian-Yu Hou Qi-Ting Zhang Qian Yao Yuan Qiao Rui-Jue Huang Li-Na Chen Yi-Min Zhu Liang Shu Jing-Jing Su Jie Fang Xue-Mei Tang Shuo Wang Guo-Hong Cui David Z. Wang Jian-Ren Liu Blood Pressure Variability during Angiography in Patients with Ischemic Stroke and Intracranial Artery Stenosis International Journal of Hypertension |
| title | Blood Pressure Variability during Angiography in Patients with Ischemic Stroke and Intracranial Artery Stenosis |
| title_full | Blood Pressure Variability during Angiography in Patients with Ischemic Stroke and Intracranial Artery Stenosis |
| title_fullStr | Blood Pressure Variability during Angiography in Patients with Ischemic Stroke and Intracranial Artery Stenosis |
| title_full_unstemmed | Blood Pressure Variability during Angiography in Patients with Ischemic Stroke and Intracranial Artery Stenosis |
| title_short | Blood Pressure Variability during Angiography in Patients with Ischemic Stroke and Intracranial Artery Stenosis |
| title_sort | blood pressure variability during angiography in patients with ischemic stroke and intracranial artery stenosis |
| url | http://dx.doi.org/10.1155/2020/6214581 |
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