Stroke, Vol 24, 1372-1375, Copyright © 1993 by American Heart Association
B Carlberg, K Asplund and E Hagg
BACKGROUND AND PURPOSE: Patients with acute stroke are often found to have
high blood pressures at hospital admission. Previous studies have shown
variable results regarding the prognostic value of high blood pressure in
acute stroke. The aim of this study was to investigate the prognostic value
of admission blood pressure in a population-based sample of patients with
acute stroke. METHODS: Eighty-five patients with intracerebral hemorrhage
and 831 with ischemic disease were included in the study. The relations
between admission blood pressure and 30-day mortality were studied by
logistic regression analyses. RESULTS: High blood pressure in patients with
impaired consciousness on hospital admission was significantly related to
30-day mortality in patients with intracerebral hemorrhage (P = .037) and
in patients with ischemic disease (P < .0001). In patients without
impaired consciousness, high blood pressure at time of admission was not
related to increased mortality at 30 days. CONCLUSIONS: High admission
blood pressure in alert stroke patients was not related to increased
mortality. Stroke patients with impaired consciousness showed higher
mortality rates with increasing blood pressure. However, this does not
provide a basis for recommending antihypertensive therapy for such
patients.
ARTICLES
The prognostic value of admission blood pressure in patients with acute stroke
Department of Medicine, University Hospital, Umea, Sweden.
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