AI Article Synopsis
- The study aimed to assess how blood pressure variability in the first 24 hours of hospital admission affects outcomes in patients with acute ischemic stroke (AIS).
- High variability in systolic blood pressure was linked to worse discharge outcomes, particularly in nondiabetics and those with cardioembolism-related strokes.
- However, this effect did not extend to long-term outcomes, and diastolic blood pressure variability showed no correlation with patient outcomes in the initial 24 hours.
Article Abstract
Our purpose was to evaluate the value of blood pressure variability within the first 24 hours after admission in predicting outcomes of patients with acute ischemic stroke (AIS). A greater variability in systolic blood pressure (adjusted odds ratio [OR] = 1.801, 95% confidence interval [CI] = 1.167-2.779) was associated with poor discharge outcome, especially for nondiabetics (adjusted OR = 1.948, 95% CI = 1.184-3.205) and cardioembolism-related patients with AIS (OR = 7.650, 95% CI = 1.370-42.713). However, this correlation was not observed with a long-term (3-month or 6-month) outcome in patients with AIS. There was no association between diastolic blood pressure variability within the first 24 hours after admission and outcome. In conclusion, systolic blood pressure variability within the first 24 hours after admission is a critical predictor for short-term outcome of patients with AIS.
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| http://dx.doi.org/10.1016/j.jash.2017.12.012 | DOI Listing |
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