Abstract:
BACKGROUND AND OBJECTIVE:In patients with hypertensive intracerebral hemorrhage (HICH), intravenous nicardipine is primarily used to lower blood pressure (BP). However, there are few studies investigating the role of oral antihypertensives administered after intravenous nicardipine to prevent BP from rising. Angiotensin II receptor blockers (ARBs) may be beneficial in HICH patients not only as antihypertensives but also by lowering plasma catecholamine levels. A prospective randomized study was conducted between January 2015 and March 2016 to comparatively evaluate the efficacy of two ARBs (azilsartan vs. candesartan) following intravenous nicardipine administration on BP reduction. PATIENTS AND METHODS:Thirty conscious HICH patients presenting within 6 h of symptom onset were enrolled (15 in each arm). After administering intravenous nicardipine for 24-48 h, the patients were randomized either to the azilsartan (20 mg) arm or to the candesartan (8 mg) arm. Frequency of hematoma expansion, 30-day modified Rankin scale, and temporal profiles of systolic blood pressure (SBP) and plasma norepinephrine/aldosterone were compared. RESULTS:Substantial hematoma expansion occurred in two (13%) azilsartan patients and in one (7%) candesartan patient (P=1.00). SBPs were maintained at lower than 140±20 mmHg in both arms. Neither SBPs nor plasma norepinephrine/aldosterone levels differed significantly. All 30 patients had 30-day modified Rankin scale scores of 1-2. CONCLUSION:Administration of ARBs following intravenous nicardipine effectively prevented BP from rising in HICH patients. However, whether BP should be strictly managed after 24 h of symptom onset should be addressed in future studies focusing not only on neurologic but also on cardiovascular and renal functions of HICH patients.
journal_name
Blood Press Monitjournal_title
Blood pressure monitoringauthors
Inamasu J,Nakae S,Adachi K,Hirose Ydoi
10.1097/MBP.0000000000000225subject
Has Abstractpub_date
2017-02-01 00:00:00pages
34-39issue
1eissn
1359-5237issn
1473-5725journal_volume
22pub_type
杂志文章,随机对照试验abstract::To determine the accuracy of the large-extra large-sized (L-XL) cuff (32-52 cm) coupled to a Microlife WatchBP Office ABI blood pressure measuring device tested according to the requirements of the International Protocol of the European Society of Hypertension. The L-XL cuff tested in this study is designed to provide...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e328344c73c
更新日期:2011-04-01 00:00:00
abstract::For blood pressure assessment, it has been reported that forearm blood pressure measurement appears to be as valid as an upper-arm blood pressure measurement method in individuals with severe obesity when correlated to the intra-arterial method, considered as the gold standard. Sensitivity, specificity, and predictive...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000097
更新日期:2015-04-01 00:00:00
abstract::Sudden cardiac death, myocardial infarction, unstable angina, ventricular tachyarrhythmias, fatal pulmonary thromboembolism, rupture of thoracic aorta, and ischemic and hemorrhagic cerebrovascular accidents exhibit a prominent circadian pattern with events more frequently during the morning (0600-1200 h)after awakenin...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1998-02-01 00:00:00
abstract:BACKGROUND:There is increasing evidence that the method of calibration directly influences the association between brachial systolic blood pressure (bSBP) and estimated aortic systolic blood pressure (aSBP) and subsequently affects prognostic and diagnostic differentiation power of the latter. OBJECTIVE:The aim of thi...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0000000000000319
更新日期:2018-06-01 00:00:00
abstract::BACKGROUND: Hypertension is responsible for substantial morbidity in end-stage renal disease. Ambulatory blood pressure monitoring has been used to understand the behavior of blood pressure in renal failure, especially during the interdialytic period for patients on hemodialysis. OBJECTIVE: To review the published dat...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract:BACKGROUND:New software (SuperSTAT(R) algorithm) with enhancements aimed at shorter determination times was developed for a non-invasive blood pressure (NIBP) device and a clinical evaluation was conducted to verify accuracy. OBJECTIVE:To determine the accuracy of the new algorithm according to ANSI/AAMI SP10-1992 and...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200204000-00006
更新日期:2002-04-01 00:00:00
abstract::Some oscillometric non-invasive blood pressure (NIBP) monitors use twin-hose cuffs, whereas others use single-hose cuffs. The incompatibility hinders the transfer of patients from monitors using a single-hose cuff to monitors using twin-hose cuffs and vice versa. In particular, the Propaq Encore uses a single-hose cuf...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::Masked hypertension (blood pressure that is normal in the physicians' office but elevated elsewhere) is a common phenomenon as prevalence among studies varies from 8 to 45% and is seen at all ages. large discrepancies, however, exist between studies that have dealt with masked hypertension. It is of high clinical impo...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/mbp.0b013e3280fb2792
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:Arterial hypertension is associated with cardiovascular morbidity and mortality. It was previously shown that left atrium volume increase associated with mortality and atherosclerotic heart disease. The aim of the present study was to demonstrate the value of endothelial dysfunction in predicting left atrium...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000419
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to test whether the auscultatory method and Finapres provide similar readings for blood pressure response during two resistance exercise protocols of different intensities, and to gain some insight into whether auscultation can be used to monitor cardiovascular stress during r...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e32809ef9f1
更新日期:2007-04-01 00:00:00
abstract::BACKGROUND: Blood pressure measurements taken in the clinic or laboratory are assumed to generalize to the world outside. This is true both of casual blood pressure measurements and of changes in blood pressure responses to stress. Such generalizability is crucial to the usefulness of blood pressure measurements as pr...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE:Vitamin D has beneficial effects on vascular endothelial function, blood pressure (BP) and arterial stiffness. Arterial stiffness increases in early-stage hypertensive patients and it is a strong predictor of cardiovascular morbidity and mortality. The purpose of this study was to assess the association betwe...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000497
更新日期:2020-11-23 00:00:00
abstract::The terms 'self-blood pressure' and 'home blood pressure' are being used to describe measurements of blood pressure taken by the patients at home. However, home measurements are not always self-measurements, because these are often taken by the patients' relatives. There is little evidence on the effect of self-measur...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/00126097-200308000-00007
更新日期:2003-08-01 00:00:00
abstract:BACKGROUND:Obstructive sleep apnea-hypopnea syndrome (OSAHS) is common in people with hypertension and cardiac rhythm disorder. The objectives of this study were to determine the effect of short-term continuous positive airway pressure (CPAP) on blood pressure (BP) and cardiac rhythm in Chinese patients with moderate t...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000324
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Ambulatory blood pressure monitoring allows characterization of the patient's average blood pressure load as well as various profiles of blood pressure. Results from clinical studies suggest that dippers (patients whose blood pressures decrease during night-time) have a lower risk of cardiovascular events th...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200002000-00004
更新日期:2000-02-01 00:00:00
abstract::OBJECTIVES: To compare clinic and am measurements of blood pressure in old patients with isolated systolic hypertension and their reproducibilities. PATIENTS: In total 610 patients aged >/= 60 years with isolated systolic hypertension detected by clinic measurement were monitored during the placebo run-in phase of the...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVES:Vitamin D deficiency and high parathyroid hormone (PTH) levels have been linked with hypertension. Nondipper hypertension is associated with increased morbidity and mortality. We aimed to investigate the relationship of vitamin D and PTH levels with nondipper hypertension and nocturnal decline in untreated h...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000286
更新日期:2017-12-01 00:00:00
abstract::Current hypertension guidelines continue to base management decisions on the office BP as recorded by mercury sphygmomanometry. The imminent disappearance of mercury from the workplace for environmental and safety reasons provides an opportunity to re-assess how a diagnosis of hypertension is made. There are now sever...
journal_title:Blood pressure monitoring
pub_type: 共识发展会议,杂志文章,评审
doi:10.1097/00126097-200412000-00002
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVES:Monitoring of brachial blood pressure during exercise-electrocardiogram (ECG) testing is mandatory and changes in blood pressure (BP) can provide critical management evidence. Patient movement, mechanical vibration, artifactual sounds and observer variability make standard manual techniques problematic. This...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200410000-00007
更新日期:2004-10-01 00:00:00
abstract::In 2004-2005, the antihypertensive effects of telmisartan 80 mg versus valsartan 160 mg combined with hydrochlorothiazide 25 mg were assessed in a large placebo-controlled trial in patients with stages 1 and 2 hypertension and demonstrated that both agents were highly effective in lowering blood pressure (BP) compared...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,随机对照试验
doi:10.1097/MBP.0b013e3282f3859d
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVES:The extent of morning blood pressure (BP) surge upon wakening has been associated with increased incidence of stroke and cardiovascular mortality. This trial investigated the antihypertensive efficacy and effects on the morning BP surge of awakening versus bedtime administration of nifedipine in essential hy...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,随机对照试验
doi:10.1097/MBP.0b013e32832e0d80
更新日期:2009-08-01 00:00:00
abstract::OBJECTIVE: To investigate whether blood pressure monitoring is reproducible. DESIGN: Reproducibility of ambulatory blood pressure monitoring data was assessed by means of traditional and relatively new statistical methods, namely correlation coefficients, regression analysis and agreement analysis. METHODS: Ninety-one...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract:OBJECTIVES:A number of operator-independent oscillometric devices to measure hemodynamics and arterial stiffness became available recently, but some and in particular VaSera VS-1500 do not provide estimates of aortic pressures and aortic pulse wave velocity (aPWV). The aim of this work was the retrospective application...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000137
更新日期:2015-10-01 00:00:00
abstract::BACKGROUND: Ambulatory measurement for the QKD interval is a new method for evaluation of the rigidity of large arterial trunks. Reliable indices of arterial rigidity can be distilled from the large number of measurements (usually around 100) obtained during 24 h monitoring. OBJECTIVE: To describe a shorter standardiz...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:Pulse wave velocity (PWV) is a measure of arterial stiffness and a marker for cardiovascular disease. Although commonly used, there are only a few reports investigating the intersession and intrasession variability in PWV measurements, the determination of which is important in a mixed population when using P...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0000000000000052
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:The independent prognostic significance of ambulatory blood pressure variability in the elderly is incompletely clear. We investigated the prognostic value of average real variability of 24-hour blood pressure in elderly treated hypertensive patients. METHODS:The occurrence of a combined end-point including ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000381
更新日期:2019-08-01 00:00:00
abstract::BACKGROUND: The lack of prospective data on the relative value of ambulatory blood pressure compared with office blood pressure as well as concern about increased costs have led to cautious endorsement of such monitoring in the clinical arena. Several consensus bodies have reviewed the scientific evidence and have sug...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVE:Previous studies have indicated moderate-to-poor reproducibility of heart rate variability (HRV) but the reproducibility of blood pressure variability (BPV) and spectral measures of baroreceptor sensitivity (BRS) are not well established. METHODS:We measured normal-to-normal heart beat (RR) interval and fing...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200502000-00005
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:Guidelines for office blood pressure reading techniques do not warn us about the possibility that patients may clench their fist during cuff-inflation. It is unknown how often patients do this, and what effect it has on measured blood pressure readings. DESIGN AND METHODS:We registered double blood pressure...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200206000-00001
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:Home blood pressure (BP) monitoring offers clinically relevant information enriched with more abundant data. However, there are few studies addressing the reliability of home BP devices and the quality of its data. This study aimed to evaluate the current status of home BP devices in terms of validation and a...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0000000000000121
更新日期:2015-08-01 00:00:00