Artery Research

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Volume 24, Issue C, December 2018, Pages 104 - 104

P88 CENTRAL PRESSURE IN PATIENTS WITH ACUTE ISCHEMIC STROKE IN ACUTE PHASE: A PILOT STUDY

Authors
David Paiva1, Ana Costa2, Ana Luisa Campos2, Filipa Gonçalves2, Pedro Cunha2, Jorge Cotter2
1Hospital Senhora Oliveira, Guimaraes, Portugal
2Hospital Senhora da Oliveira, Guimaraes, Portugal
Available Online 4 December 2018.
DOI
10.1016/j.artres.2018.10.141How to use a DOI?
Abstract

Acute Ischemic Stroke (AIS) is defined as sudden onset of a neurologic deficit. The main risk factor for stroke is high blood pressure (BP) and it is elevated in more than 70% or more of patients with AIS. In patients with AIS, management of blood pressure by brachial pressure is very important, but recent evidence suggests that central pressure is more strongly related to future cardiovascular events. In this study we started to evaluate central pressure (CBP) in patients admitted with AIS in the first 24 h.We evaluated 34 patients, 23 male and 11 females. The age mean was 72,7 years (49 – 96 years). The patients presented a mean NIHSS score of 5,4 at admission (minimum of 0 and maximum of 18), that was higher in males (mean of 8,1) than in females (mean of 4,3). In males, the mean BP was 148,41/79,04 mmHg and systolic CBP varied from 109 mmHg to 215 mmHg and diastolic from 63 mmHg to 128 mmHg (mean of 138,76/81,33 mmHg). In females, the mean brachial pressure was 143,72/76,45 mmHg and the systolic CBP varied from 102 mmHg to 190 and the diastolic from 44 mmHg to 104 mmHg (mean of 132,23/78,95 mmHg). The mean of augmentation index was 35% (34% in females and 35% in males).The aim of this study is enlarge our sample and evaluate the correlation between BP and CBP with RANKIN and NIHSS score of the patients not only at the acute phase but also after that, and the occurrence or not of new events.

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This is an open access article distributed under the CC BY-NC license.

References

1.MJ Roman, RB Devereux, JR Kizer, ET Lee, JM Galloway, T Ali, JG Umans, and BV Howard, Central pressure more strongly relates to vascular disease and outcome than does brachial pressure: the Strong Heart Study, Hypertension, Vol. 50, 2007, pp. 197-203.
2.JP Appleton, N Sprigg, and PM Bath, Blood pressure management in acute stroke, Stroke and Vascular Neurology, 2016, pp. 1.
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Journal
Artery Research
Volume-Issue
24 - C
Pages
104 - 104
Publication Date
2018/12/04
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/j.artres.2018.10.141How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

risenwbib
TY  - JOUR
AU  - David Paiva
AU  - Ana Costa
AU  - Ana Luisa Campos
AU  - Filipa Gonçalves
AU  - Pedro Cunha
AU  - Jorge Cotter
PY  - 2018
DA  - 2018/12/04
TI  - P88 CENTRAL PRESSURE IN PATIENTS WITH ACUTE ISCHEMIC STROKE IN ACUTE PHASE: A PILOT STUDY
JO  - Artery Research
SP  - 104
EP  - 104
VL  - 24
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2018.10.141
DO  - 10.1016/j.artres.2018.10.141
ID  - Paiva2018
ER  -