The Real-Time Tracking and Alarming the Early Neurological Deterioration Using Continuous Blood Pressure Monitoring in Patient with Acute Ischemic Stroke

2018 ◽  
pp. 33-37
Author(s):  
Youngjo Lee ◽  
Maengseok Noh ◽  
Il Do Ha
Keyword(s):  
Blood Pressure ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Real Time ◽  
Blood Pressure Monitoring ◽  
Neurological Deterioration ◽  
Pressure Monitoring ◽  
Early Neurological Deterioration ◽  
Real Time Tracking ◽  
Continuous Blood Pressure

Blood Pressure After Endovascular Thrombectomy and Outcomes in Patients With Acute Ischemic Stroke: An Individual Patient Data Meta-analysis

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000013049
Author(s):  
Aristeidis H Katsanos ◽  
Konark Malhotra ◽  
Niaz Ahmed ◽  
Georgios Seitidis ◽  
Eva A. Mistry ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Intracranial Hemorrhage ◽  
Individual Patient Data ◽  
Patient Data ◽  
Neurological Deterioration ◽  
Endovascular Thrombectomy ◽  
Early Neurological Deterioration ◽  
Symptomatic Intracranial Hemorrhage

Objective:To explore the association between blood pressure (BP) levels after endovascular thrombectomy (EVT) and the clinical outcomes of acute ischemic stroke (AIS) patients with large vessel occlusion (LVO).Methods:A study was eligible if it enrolled AIS patients older than 18 years, with an LVO treated with either successful or unsuccessful EVT, and provided either individual or mean 24-hour systolic BP values after the end of the EVT procedure. Individual patient data from all studies were analyzed using a generalized linear mixed-effects model.Results:A total of 5874 patients (mean age: 69±14 years, 50% women, median NIHSS on admission: 16) from 7 published studies were included. Increasing mean systolic BP levels per 10 mm Hg during the first 24 hours after the end of the EVT were associated with a lower odds of functional improvement (unadjusted common OR=0.82, 95%CI:0.80-0.85; adjusted common OR=0.88, 95%CI:0.84-0.93) and modified Ranking Scale score≤2 (unadjusted OR=0.82, 95%CI:0.79-0.85; adjusted OR=0.87, 95%CI:0.82-0.93), and a higher odds of all-cause mortality (unadjusted OR=1.18, 95%CI:1.13-1.24; adjusted OR=1.15, 95%CI:1.06-1.23) at 3 months. Higher 24-hour mean systolic BP levels were also associated with an increased likelihood of early neurological deterioration (unadjusted OR=1.14, 95%CI:1.07-1.21; adjusted OR=1.14, 95%CI:1.03-1.24) and a higher odds of symptomatic intracranial hemorrhage (unadjusted OR=1.20, 95%CI:1.09-1.29; adjusted OR=1.20, 95%CI:1.03-1.38) after EVT.Conclusion:Increased mean systolic BP levels in the first 24 hours after EVT are independently associated with a higher odds of symptomatic intracranial hemorrhage, early neurological deterioration, three-month mortality, and worse three-month functional outcomes.

Blood pressure variability and the development of early neurological deterioration following acute ischemic stroke

2015 ◽  
Vol 33 (10) ◽  
pp. 2099-2106 ◽  
Author(s):  
Jong-Won Chung ◽  
Nayoung Kim ◽  
Jihoon Kang ◽  
Su Hyun Park ◽  
Wook-Joo Kim ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Blood Pressure Variability ◽  
Neurological Deterioration ◽  
Early Neurological Deterioration

Blood pressure in acute ischemic stroke and mortality: a study with noninvasive blood pressure monitoring

2006 ◽  
Vol 11 (4) ◽  
pp. 199-205 ◽  
Author(s):  
Michelangelo Sartori ◽  
Valentina Benetton ◽  
Anna Maria Carraro ◽  
Lorenzo A. Cal?? ◽  
Luisa Macchini ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Blood Pressure Monitoring ◽  
Pressure Monitoring ◽  
Noninvasive Blood Pressure

Syncope during exercise, documented with continuous blood pressure monitoring during ergometer testing

2005 ◽  
Vol 15 (1) ◽  
pp. 59-62 ◽  
Author(s):  
C. T. Paul Krediet ◽  
Arthur A. M. Wilde ◽  
John R. Halliwill ◽  
Wouter Wieling
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Pressure Monitoring ◽  
Continuous Blood Pressure
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