Impact of early blood pressure variability on stroke outcomes after thrombolysis: the SAMURAI rt-PA Registry.

Abstract:

BACKGROUND AND PURPOSE:The present study determines associations between early blood pressure (BP) variability and stroke outcomes after intravenous thrombolysis. METHODS:In 527 stroke patients receiving intravenous alteplase (0.6 mg/kg), BP was measured 8 times within the first 25 hours. BP variability was determined as ΔBP (maximum-minimum), standard deviation (SD), coefficient of variation, and successive variation. RESULTS:The systolic BP course was lower among patients with modified Rankin Scale (mRS) 0 to 1 than those without (P<0.001). Most of systolic BP variability profiles were significantly associated with outcomes. Adjusted odds ratios (95% confidence interval) per 10 mm Hg (or 10% for coefficient of variation) on symptomatic intracerebral hemorrhage were as follows: ΔBP, 1.33 (1.08-1.66); SD, 2.52 (1.26-5.12); coefficient of variation, 3.15 (1.12-8.84); and successive variation, 1.82 (1.04-3.10). The respective values were 0.88 (0.77-0.99), 0.73 (0.48-1.09), 0.77 (0.43-1.34), and 0.76 (0.56-1.03) for 3-month mRS 0 to 1; and 1.40 (1.14-1.75), 2.85 (1.47-5.65), 4.67 (1.78-12.6), and 1.99 (1.20-3.25) for death. Initial BP values before thrombolysis were not associated with any outcomes. CONCLUSIONS:Early systolic BP variability was positively associated with symptomatic intracerebral hemorrhage and death after intravenous thrombolysis.

journal_name

Stroke

journal_title

Stroke

authors

Endo K,Kario K,Koga M,Nakagawara J,Shiokawa Y,Yamagami H,Furui E,Kimura K,Hasegawa Y,Okada Y,Okuda S,Namekawa M,Miyagi T,Osaki M,Minematsu K,Toyoda K

doi

10.1161/STROKEAHA.112.681007

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

816-8

issue

3

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.112.681007

journal_volume

44

pub_type

杂志文章

相关文献

STROKE文献大全
  • Evolution of diaschisis in a focal stroke model.

    abstract:BACKGROUND AND PURPOSE:Stroke produces diaschisis in adjacent and connected regions. The sequential changes in diaschisis over time and the relationship of regions of diaschisis to functional cortical areas and regions of poststroke neuroplasticity have not been determined. METHODS:Small cortical strokes were produced...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000117235.11156.55

    authors: Carmichael ST,Tatsukawa K,Katsman D,Tsuyuguchi N,Kornblum HI

    更新日期:2004-03-01 00:00:00

  • Cathepsin and calpain inhibitor E64d attenuates matrix metalloproteinase-9 activity after focal cerebral ischemia in rats.

    abstract:BACKGROUND AND PURPOSE:Matrix metalloproteinases (MMPs) and cysteine proteases (calpain and cathepsin B) play an important role in cell death and are upregulated after focal cerebral ischemia. Because there is a significant interaction between MMP-9 with calpain and cathepsin B, we investigated the role of E64d (a calp...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000227259.15506.24

    authors: Tsubokawa T,Solaroglu I,Yatsushige H,Cahill J,Yata K,Zhang JH

    更新日期:2006-07-01 00:00:00

  • Fluctuation of lipid peroxides and related enzyme activities at time of stroke in stroke-prone spontaneously hypertensive rats.

    abstract::The levels of lipid peroxides, determined as thiobarbituric acid reactive substances (TBARS), and the activities of superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px), were examined in the blood from stroke-prone spontaneously hypertensive rats (SHRSP), with and without cerebral lesions, and normotensive W...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.10.3.323

    authors: Tomita I,Sano M,Serizawa S,Ohta K,Katou M

    更新日期:1979-05-01 00:00:00

  • Reduction and restoration of mitochondrial dna content after focal cerebral ischemia/reperfusion.

    abstract:BACKGROUND AND PURPOSE:Oxidative damage of mitochondrial DNA (mtDNA) in the ischemic brain is expected after ischemia/reperfusion injury. A recent study demonstrated limited patterns of mtDNA deletion in the brain after ischemia/reperfusion. We studied the ischemia/reperfusion-induced global changes of mtDNA integrity ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/hs1001.097099

    authors: Chen H,Hu CJ,He YY,Yang DI,Xu J,Hsu CY

    更新日期:2001-10-01 00:00:00

  • Physical activity and stroke incidence: the Harvard Alumni Health Study.

    abstract:BACKGROUND AND PURPOSE:Physiologically, it appears plausible for physical activity to decrease stroke risk; however, epidemiological studies have produced mixed findings. Furthermore, few studies have examined specific kinds and intensities of activities. The purpose of this study was to examine the association between...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.29.10.2049

    authors: Lee IM,Paffenbarger RS Jr

    更新日期:1998-10-01 00:00:00

  • A multifactorial analysis of risk factors for recurrence of ischemic stroke.

    abstract:BACKGROUND AND PURPOSE:Risk factors for stroke recurrence have usually been evaluated as single variables. This study is a multivariate analysis of five risk factors (hypertension, myocardial infarction, cardiac arrhythmia, diabetes mellitus, and transient ischemic attacks) for second stroke after an initial ischemic s...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.5.958

    authors: Lai SM,Alter M,Friday G,Sobel E

    更新日期:1994-05-01 00:00:00

  • Involvement of internal elastic lamina in development of induced cerebral aneurysms in rats.

    abstract::To elucidate the role of the internal elastic lamina in the development of cerebral aneurysm, the bifurcation of the anterior cerebral artery and olfactory artery was histologically studied in control and experimental rats treated with unilateral carotid ligation and renal hypertension. Various stages of aneurysm form...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.19.4.507

    authors: Kim C,Kikuchi H,Hashimoto N,Kojima M,Kang Y,Hazama F

    更新日期:1988-04-01 00:00:00

  • Blood pressure control and risk of stroke: a population-based prospective cohort study.

    abstract:BACKGROUND AND PURPOSE:Adequate control of blood pressure (BP) is a cornerstone in stroke prevention. This study explored the risk of stroke in relation to the quality of BP control in a population-based cohort and whether control of hypertension was related to background characteristics of patients. METHODS:A total o...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000158925.12740.87

    authors: Li C,Engström G,Hedblad B,Berglund G,Janzon L

    更新日期:2005-04-01 00:00:00

  • Genetics of cerebrovascular disease.

    abstract::Stroke is a complex disease, with both genetic and environmental factors having a role in its pathogenesis. A review of past studies shows some evidence of genetic influences in the development of stroke. This is supported by studies of cardiovascular disease, which indicate major genetic influences at several levels ...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:

    authors: Alberts MJ

    更新日期:1990-11-01 00:00:00

  • Arterial Stiffness Is Associated With Basal Ganglia Enlarged Perivascular Spaces and Cerebral Small Vessel Disease Load.

    abstract:BACKGROUND AND PURPOSE:We assessed whether the load of cerebral small vessel disease (cSVD) and its individual markers, including lacunes, white matter hyperintensities, microbleeds, and enlarged perivascular spaces (EPVS), are associated with arterial stiffness. METHODS:We evaluated cSVD markers in a cohort of 782 hy...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.020163

    authors: Riba-Llena I,Jiménez-Balado J,Castañé X,Girona A,López-Rueda A,Mundet X,Jarca CI,Álvarez-Sabin J,Montaner J,Delgado P

    更新日期:2018-05-01 00:00:00

  • Novel diagnostic test for acute stroke.

    abstract:BACKGROUND AND PURPOSE:The absence of a widely available and sensitive diagnostic test for acute cerebral ischemia remains a significant limitation in the diagnosis and management of stroke. The objective of this study was to examine the feasibility of developing a diagnostic panel of blood-borne biochemical markers of...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000105927.62344.4C

    authors: Lynch JR,Blessing R,White WD,Grocott HP,Newman MF,Laskowitz DT

    更新日期:2004-01-01 00:00:00

  • Color duplex measurement of cerebral blood flow volume in healthy adults.

    abstract:BACKGROUND AND PURPOSE:Global cerebral blood flow (CBF) is an important yet largely unknown quantity in the treatment of neurological intensive care patients. Color duplex sonography of the extracranial cerebral arteries can be used to measure global CBF volume directly at the bedside. To establish reference data on gl...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.31.1.147

    authors: Scheel P,Ruge C,Petruch UR,Schöning M

    更新日期:2000-01-01 00:00:00

  • Endocrine Regulator rFGF21 (Recombinant Human Fibroblast Growth Factor 21) Improves Neurological Outcomes Following Focal Ischemic Stroke of Type 2 Diabetes Mellitus Male Mice.

    abstract::Background and Purpose- The complexity and heterogeneity of stroke, as well as the associated comorbidities, may render neuroprotective drugs less efficacious in clinical practice. Therefore, the development of targeted therapies to specific patient subsets has become a high priority in translational stroke research. ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.022119

    authors: Jiang Y,Liu N,Wang Q,Yu Z,Lin L,Yuan J,Guo S,Ahn BJ,Wang XJ,Li X,Lo EH,Sun X,Wang X

    更新日期:2018-12-01 00:00:00

  • Intracerebral hemorrhage in the very old: future demographic trends of an aging population.

    abstract:BACKGROUND AND PURPOSE:In most European societies and in the United States, the percentage of patients ≥80 years has been rising over the past century. The present study was conducted to observe this demographic change and its impact on patients with intracerebral hemorrhage (ICH). METHODS:We reviewed patients' data w...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.644716

    authors: Stein M,Misselwitz B,Hamann GF,Scharbrodt W,Schummer DI,Oertel MF

    更新日期:2012-04-01 00:00:00

  • Extracorporeal rheopheresis in the treatment of acute ischemic stroke: A randomized pilot study.

    abstract:BACKGROUND AND PURPOSE:Extracorporeal rheopheresis is a safe method to optimize hemorheology. Our aim was to determine whether treatment with extracorporeal rheopheresis in patients with acute ischemic hemispheric stroke improves cerebral perfusion as assessed with serial 99mTc-ethyl-cysteinate-dimer single-photon emis...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.str.30.4.787

    authors: Berrouschot J,Barthel H,Köster J,Hesse S,Rössler A,Knapp WH,Schneider D

    更新日期:1999-04-01 00:00:00

  • Intra- and interrater reliability of ischemic lesion volume measurements on diffusion-weighted, mean transit time and fluid-attenuated inversion recovery MRI.

    abstract:BACKGROUND AND PURPOSE:We investigated the intra- and interrater reliability of ischemic lesion volumes measurements assessed by different MRI sequences at various times from onset. METHODS:Ischemic lesion volumes were measured for intrarater reliability using diffusion-weighted (DWI), mean transit time (MTT) perfusio...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000249416.77132.1a

    authors: Luby M,Bykowski JL,Schellinger PD,Merino JG,Warach S

    更新日期:2006-12-01 00:00:00

  • Acute stroke teams: results of a national survey. National Acute Stroke Team Group.

    abstract:BACKGROUND AND PURPOSE:The sensitivity of the brain to brief periods of profound ischemia or prolonged periods of modest ischemia mandates an aggressive approach to acute stroke care. Past studies have shown that many stroke patients do not receive acute care in an urgent and timely fashion. The formation of acute stro...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.29.11.2318

    authors: Alberts MJ,Chaturvedi S,Graham G,Hughes RL,Jamieson DG,Krakowski F,Raps E,Scott P

    更新日期:1998-11-01 00:00:00

  • Cyclosporine A reduces cerebral vasospasm after subarachnoid hemorrhage in dogs.

    abstract::The double subarachnoid hemorrhage canine model was used to test the prophylactic value of immunosuppression in the prevention of cerebral vasospasm after subarachnoid hemorrhage. Dogs treated with cyclosporine A following the regimen prescribed for organ transplant procedures in patients showed a significant reductio...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.21.1.133

    authors: Peterson JW,Nishizawa S,Hackett JD,Bun T,Teramura A,Zervas NT

    更新日期:1990-01-01 00:00:00

  • Preoperative assessment of the carotid bifurcation. Can magnetic resonance angiography and duplex ultrasonography replace contrast arteriography?

    abstract:BACKGROUND AND PURPOSE:Noninvasive studies are used with increasing frequency to assess the carotid bifurcation before endarterectomy. Therefore, assessment of their diagnostic accuracies is essential for appropriate patient management. We prospectively evaluate two noninvasive tests, magnetic resonance angiography (MR...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.str.26.10.1753

    authors: Patel MR,Kuntz KM,Klufas RA,Kim D,Kramer J,Polak JF,Skillman JJ,Whittemore AD,Edelman RR,Kent KC

    更新日期:1995-10-01 00:00:00

  • How well do standard stroke outcome measures reflect quality of life? A retrospective analysis of clinical trial data.

    abstract:BACKGROUND AND PURPOSE:Quality of life (QoL) is important to stroke survivors yet is often recorded as a secondary measure in acute stroke randomized controlled trials. We examined whether commonly used stroke outcome measures captured aspects of QoL. METHODS:We examined primary outcomes by National Institutes of Heal...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.001126

    authors: Ali M,Fulton R,Quinn T,Brady M,VISTA Collaboration.

    更新日期:2013-11-01 00:00:00

  • PAIS 2 (Paracetamol [Acetaminophen] in Stroke 2): Results of a Randomized, Double-Blind Placebo-Controlled Clinical Trial.

    abstract:BACKGROUND AND PURPOSE:Subfebrile body temperature and fever in the first days after stroke are strongly associated with unfavorable outcome. A subgroup analysis of a previous trial suggested that early treatment with paracetamol may improve functional outcome in patients with acute stroke and a body temperature of ≥36...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/STROKEAHA.116.015957

    authors: de Ridder IR,den Hertog HM,van Gemert HM,Schreuder AH,Ruitenberg A,Maasland EL,Saxena R,van Tuijl JH,Jansen BP,Van den Berg-Vos RM,Vermeij F,Koudstaal PJ,Kappelle LJ,Algra A,van der Worp HB,Dippel DW,Trial Organization.

    更新日期:2017-04-01 00:00:00

  • Estrogen-mediated neuroprotection after experimental stroke in male rats.

    abstract:BACKGROUND AND PURPOSE:We have previously shown that 17beta-estradiol reduces infarction volume in female rats. The present study determined whether single injection or chronic implantation of estrogen confers neuroprotection in male animals with middle cerebral artery occlusion (MCAO) and whether there is an interacti...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.29.8.1666

    authors: Toung TJ,Traystman RJ,Hurn PD

    更新日期:1998-08-01 00:00:00

  • Occurrence and clinical impact of microembolic signals during or after cardiosurgical procedures.

    abstract:BACKGROUND AND PURPOSE:Microembolic signals (MESs) are detectable within the transcranial Doppler frequency spectrum downstream from vascular atherothrombotic or cardiothrombotic lesions. A frequent occurrence of MESs has also been shown during bypass surgery or after mechanical valve implantation. We sought to compile...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/STROKEAHA.107.491241

    authors: Dittrich R,Ringelstein EB

    更新日期:2008-02-01 00:00:00

  • Delayed Administration of Tat-HA-NR2B9c Promotes Recovery After Stroke in Rats.

    abstract:BACKGROUND AND PURPOSE:Previous studies reported that Tat-NR2B9c, a peptide disrupting the N-methyl-d-aspartate receptor-postsynaptic density protein-95 interaction, reduced ischemic damage in the acute phase after stroke. However, its effect in the subacute phase is unknown. The aim of this study is to determine wheth...

    journal_title:Stroke

    pub_type: 杂志文章,收录出版

    doi:10.1161/STROKEAHA.115.008886

    authors: Zhou HH,Tang Y,Zhang XY,Luo CX,Gao LY,Wu HY,Chang L,Zhu DY

    更新日期:2015-05-01 00:00:00

  • Primary care physician-reported secondary and tertiary stroke prevention practices. A comparison between the United States and the United Kingdom.

    abstract:BACKGROUND AND PURPOSE:Stroke is a major healthcare problem in both the United States (US) and the United Kingdom (UK). Little comparative data are available concerning how generalist physicians in the two countries approach the management of patients at high risk of stroke. METHODS:Contemporaneous surveys of random s...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.28.4.746

    authors: Goldstein LB,Farmer A,Matchar DB

    更新日期:1997-04-01 00:00:00

  • Carotid atherosclerosis is a stronger predictor of myocardial infarction in women than in men: a 6-year follow-up study of 6226 persons: the Tromsø Study.

    abstract:BACKGROUND AND PURPOSE:Ultrasound of carotid arteries provides measures of intima media thickness (IMT) and plaque, both widely used as surrogate measures of cardiovascular disease. Although IMT and plaques are highly intercorrelated, the relationship between carotid plaque and IMT and cardiovascular disease has been c...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.107.487264

    authors: Johnsen SH,Mathiesen EB,Joakimsen O,Stensland E,Wilsgaard T,Løchen ML,Njølstad I,Arnesen E

    更新日期:2007-11-01 00:00:00

  • CT cerebral blood flow maps optimally correlate with admission diffusion-weighted imaging in acute stroke but thresholds vary by postprocessing platform.

    abstract:BACKGROUND AND PURPOSE:Admission infarct core lesion size is an important determinant of management and outcome in acute (<9 hours) stroke. Our purposes were to: (1) determine the optimal CT perfusion parameter to define infarct core using various postprocessing platforms; and (2) establish the degree of variability in...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.110.610618

    authors: Kamalian S,Kamalian S,Maas MB,Goldmacher GV,Payabvash S,Akbar A,Schaefer PW,Furie KL,Gonzalez RG,Lev MH

    更新日期:2011-07-01 00:00:00

  • Subcortical arteriosclerotic encephalopathy (Binswanger's disease). A vascular etiology of dementia.

    abstract::A 51-yearold man with moderate intermittent hypertension had a rapidly progressive, profound dementia in the absence of significant localizing neurological signs. Postmortem examination disclosed the vascular alterations and diffuse white matter degeneration which characterize subcortical arteriosclerotic encephalopat...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.7.6.626

    authors: Burger PC,Burch JG,Kunze U

    更新日期:1976-11-01 00:00:00

  • Prognosis in middle cerebral artery stenosis.

    abstract::Among 21 patients with angiographically demonstrated stenosis of the middle cerebral artery (MCA) 14 presented with a stroke and 7 with transient ischaemic attacks (TIAs). Of the former 4 had further strokes (3 fatal); of the latter one had a fatal stroke. Only 2 of the 21 patients had TIAs during the follow-up period...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.15.2.237

    authors: Corston RN,Kendall BE,Marshall J

    更新日期:1984-03-01 00:00:00

  • Thalamic Diaschisis in Acute Ischemic Stroke: Occurrence, Perfusion Characteristics, and Impact on Outcome.

    abstract:BACKGROUND AND PURPOSE:Ipsilateral thalamic diaschisis (ITD) describes the reduction of thalamic function, metabolism, and perfusion resulting from a distant lesion of the ipsilateral hemisphere. Our aim was to evaluate the perfusion characteristics and clinical impact of ITD in acute middle cerebral artery stroke, whi...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.020698

    authors: Reidler P,Thierfelder KM,Fabritius MP,Sommer WH,Meinel FG,Dorn F,Wollenweber FA,Duering M,Kunz WG

    更新日期:2018-04-01 00:00:00