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Relationship of Early Spontaneous Type V Blood Pressure Fluctuation after Thrombolysis in Acute Cerebral Infarction Patients and the Prognosis

We examined the relationship between an early spontaneous type V blood pressure fluctuation and the post-thrombolysis prognosis of patients with acute cerebral infarction. Patients were admitted consecutively. All patients were categorized into the type V blood pressure fluctuation group or non-type...

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Autores principales: Zuo, Lian, Wan, Ting, Xu, Xiahong, Liu, Feifeng, Li, Changsong, Li, Ying, Zhang, Yue, Zhang, Jing, Bao, Huan, Li, Gang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4899732/
https://www.ncbi.nlm.nih.gov/pubmed/27278121
http://dx.doi.org/10.1038/srep27656
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author Zuo, Lian
Wan, Ting
Xu, Xiahong
Liu, Feifeng
Li, Changsong
Li, Ying
Zhang, Yue
Zhang, Jing
Bao, Huan
Li, Gang
author_facet Zuo, Lian
Wan, Ting
Xu, Xiahong
Liu, Feifeng
Li, Changsong
Li, Ying
Zhang, Yue
Zhang, Jing
Bao, Huan
Li, Gang
author_sort Zuo, Lian
collection PubMed
description We examined the relationship between an early spontaneous type V blood pressure fluctuation and the post-thrombolysis prognosis of patients with acute cerebral infarction. Patients were admitted consecutively. All patients were categorized into the type V blood pressure fluctuation group or non-type V blood pressure group. Their blood pressure was monitored before thrombolysis and until 6 h after thrombolysis. Baseline data and clinical outcomes were compared. Of 170 patients, 43 (25.2%) had an early type V blood pressure fluctuation. The National Institute of Health Stroke Scale (NIHSS) score before thrombolysis and 24 h after thrombolysis, and the modified Rankin scale score at 90 days differed significantly between the two groups (P < 0.05). Multiple logistic regression analysis showed that an unfavorable prognosis at 3 months was associated with the NIHSS score before thrombolysis (P = 0.000) but probably not with this blood pressure fluctuation (P = 0.058). An early spontaneous type V blood pressure fluctuation is common in patients with acute cerebral infarction who received venous thrombolysis, especially if they have a higher NIHSS score before thrombolysis. The type V blood pressure fluctuation may not influence patients’ prognosis; however, this needs to be confirmed in future trials.
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spelling pubmed-48997322016-06-13 Relationship of Early Spontaneous Type V Blood Pressure Fluctuation after Thrombolysis in Acute Cerebral Infarction Patients and the Prognosis Zuo, Lian Wan, Ting Xu, Xiahong Liu, Feifeng Li, Changsong Li, Ying Zhang, Yue Zhang, Jing Bao, Huan Li, Gang Sci Rep Article We examined the relationship between an early spontaneous type V blood pressure fluctuation and the post-thrombolysis prognosis of patients with acute cerebral infarction. Patients were admitted consecutively. All patients were categorized into the type V blood pressure fluctuation group or non-type V blood pressure group. Their blood pressure was monitored before thrombolysis and until 6 h after thrombolysis. Baseline data and clinical outcomes were compared. Of 170 patients, 43 (25.2%) had an early type V blood pressure fluctuation. The National Institute of Health Stroke Scale (NIHSS) score before thrombolysis and 24 h after thrombolysis, and the modified Rankin scale score at 90 days differed significantly between the two groups (P < 0.05). Multiple logistic regression analysis showed that an unfavorable prognosis at 3 months was associated with the NIHSS score before thrombolysis (P = 0.000) but probably not with this blood pressure fluctuation (P = 0.058). An early spontaneous type V blood pressure fluctuation is common in patients with acute cerebral infarction who received venous thrombolysis, especially if they have a higher NIHSS score before thrombolysis. The type V blood pressure fluctuation may not influence patients’ prognosis; however, this needs to be confirmed in future trials. Nature Publishing Group 2016-06-09 /pmc/articles/PMC4899732/ /pubmed/27278121 http://dx.doi.org/10.1038/srep27656 Text en Copyright © 2016, Macmillan Publishers Limited http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
spellingShingle Article
Zuo, Lian
Wan, Ting
Xu, Xiahong
Liu, Feifeng
Li, Changsong
Li, Ying
Zhang, Yue
Zhang, Jing
Bao, Huan
Li, Gang
Relationship of Early Spontaneous Type V Blood Pressure Fluctuation after Thrombolysis in Acute Cerebral Infarction Patients and the Prognosis
title Relationship of Early Spontaneous Type V Blood Pressure Fluctuation after Thrombolysis in Acute Cerebral Infarction Patients and the Prognosis
title_full Relationship of Early Spontaneous Type V Blood Pressure Fluctuation after Thrombolysis in Acute Cerebral Infarction Patients and the Prognosis
title_fullStr Relationship of Early Spontaneous Type V Blood Pressure Fluctuation after Thrombolysis in Acute Cerebral Infarction Patients and the Prognosis
title_full_unstemmed Relationship of Early Spontaneous Type V Blood Pressure Fluctuation after Thrombolysis in Acute Cerebral Infarction Patients and the Prognosis
title_short Relationship of Early Spontaneous Type V Blood Pressure Fluctuation after Thrombolysis in Acute Cerebral Infarction Patients and the Prognosis
title_sort relationship of early spontaneous type v blood pressure fluctuation after thrombolysis in acute cerebral infarction patients and the prognosis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4899732/
https://www.ncbi.nlm.nih.gov/pubmed/27278121
http://dx.doi.org/10.1038/srep27656
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