A comparative analysis of ambulatory blood pressure characteristics in acute stroke and non-stroke Indian patients.

IF 1.2 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-08-02 DOI:10.1097/MBP.0000000000000664

Subhaschandra B Hegde, Shivaramakrishna Aroor, Yedabettu Janardana Anupama, Shrikanth N Hegde, Hiren Prajapati, Willem J Verberk

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引用次数: 0

Abstract

Objective: The objective of this study is to identify 24-h blood pressure (BP) characteristics after acute stroke in Indian hospitalized patients.

Methods: In total, 769 patients [284 women (36.9%)] admitted at a hospital in South India were analyzed. Of these, 364 patients (47.3%) had recently experienced stroke. All patients underwent ambulatory blood pressure measurement (ABPM) so that ABPM patterns and ABPM risk parameters of stroke and non-stroke patients could be compared. Additionally, to investigate the relationship between ABPM parameters and stroke, a stepwise logistic regression analysis was employed.

Results: Stroke patients had significantly higher BP than non-stroke patients (24-h ABP: 145.0 ± 22.1 vs. 133.7 ± 20.5 mmHg, P < 0.001), with similar dipping status. ABPM parameters mostly associated with stroke (all P < 0.001) were: nighttime [odds ratios (OR): 1.587, 95% confidence interval (95% CI): 1.341-1.885], 24-h (1.584, 1.34-1.881), minimum nighttime (1.582, 1.339-1.879), daytime (1.540, 1.304-1.827), and morning SBP (1.517, 1.287-1.797). Non-dipping status was relatively more common in stroke patients (79% vs. 71%, P < 0.05) but dipping percentage did not show a significant linear relationship with stroke.

Conclusion: Several ABPM characteristics were strongly associated with stroke in Indian hospitalized patients. Specifically, minimum nighttime and average morning SBP may be considered as important and practical parameters for its relationship with stroke.

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印度急性脑卒中和非脑卒中患者动态血压特征的比较分析

本研究的目的是确定印度住院患者急性卒中后24小时血压（BP）的特征。总共对南印度一家医院收治的769名患者【284名女性（36.9%）】进行了分析。其中，364名患者（47.3%）最近经历过中风。所有患者都接受了动态血压测量（ABPM），以便比较中风和非中风患者的ABPM模式和ABPM风险参数。此外，为了研究ABPM参数与中风之间的关系，采用了逐步逻辑回归分析。脑卒中患者的血压明显高于非脑卒中患者（24小时ABP:145.0 ± 22.1对133.7 ± 20.5 mmHg，P < 0.001），具有相似的倾斜状态。ABPM参数主要与中风相关（所有P < 0.001）分别为：夜间[比值比（OR）:1.587，95%置信区间（95%CI）:1.341-1.885]，24小时（1.584，1.34-1.881），夜间最小值（1.582，1.339-1.879），白天（1.540，1.304-1.827）和早晨收缩压（1.517，1.287-1.797） < 0.05），但下降百分比与中风没有显著的线性关系。印度住院患者的几个ABPM特征与中风密切相关。具体而言，夜间最小收缩压和早晨平均收缩压可被认为是其与中风关系的重要和实用的参数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Blood Pressure Monitoring 医学-外周血管病

CiteScore

2.00

自引率

7.70%

发文量

110

审稿时长

>12 weeks

期刊介绍： Blood Pressure Monitoring is devoted to original research in blood pressure measurement and blood pressure variability. It includes device technology, analytical methodology of blood pressure over time and its variability, clinical trials - including, but not limited to, pharmacology - involving blood pressure monitoring, blood pressure reactivity, patient evaluation, and outcomes and effectiveness research. This innovative journal contains papers dealing with all aspects of manual, automated, and ambulatory monitoring. Basic and clinical science papers are considered although the emphasis is on clinical medicine. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.