Document Detail


Blood pressure is not associated with haematoma enlargement in acute intracerebral haemorrhage.
MedLine Citation:
PMID:  18717722     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: We performed an observational study that compared baseline and subsequent blood pressure (BP) measurements and its association with haematoma enlargement (HE) in patients with intracerebral haemorrhage (ICH). METHODS: We prospectively studied consecutive patients with supratentorial spontaneous ICH within the first 6 h after the onset of symptoms. HE was defined as an increase >or=33% in the volume of haematoma on the CT obtained 24-48 h after the onset of symptoms as compared with the CT at admission. We recorded systolic BP (SBP), diastolic BP (DBP) and mean BP (MBP) at admission and at 6, 12, 18 and 24 h after onset; the maximum SBP, DBP and MBP during the study period; the maximum SBP and DBP within intervals; the mean of all BP readings; administration of antihypertensive agents. RESULTS: We studied 60 patients whose mean age was 72.1 +/- 11.3 years. HE was observed in 27 (45%) patients. No statistically significant differences were observed in any of the analyses that compared BP parameters between the HE and non-HE groups (two-way anova). CONCLUSIONS: In an exploratory analysis, we did not find an association between BP and HE within the first 24 h after an acute ICH.
Authors:
J Martí-Fàbregas; S Martínez-Ramírez; M Martínez-Corral; J Díaz-Manera; L Querol; M Suárez-Calvet; M de Juan; M Santaló; R Marín; J-L Martí-Vilalta
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-08-20
Journal Detail:
Title:  European journal of neurology : the official journal of the European Federation of Neurological Societies     Volume:  15     ISSN:  1468-1331     ISO Abbreviation:  Eur. J. Neurol.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-29     Completed Date:  2009-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506311     Medline TA:  Eur J Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1085-90     Citation Subset:  IM    
Affiliation:
Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona Spain. jmarti@santpau.cat
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Aged, 80 and over
Antihypertensive Agents / therapeutic use
Blood Pressure / physiology*
Cerebral Hemorrhage / complications,  physiopathology*,  radiography
Cerebrovascular Circulation / physiology*
Disease Progression
Female
Hematoma / etiology,  physiopathology*,  radiography
Homeostasis
Humans
Hypertension / complications,  physiopathology
Male
Middle Aged
Prospective Studies
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Antihypertensive Agents
Comments/Corrections
Comment In:
Eur J Neurol. 2008 Oct;15(10):1011-2   [PMID:  18821978 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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