Circadian blood pressure variation after acute stroke

Pandian, Jeyaraj D., Wong, Andrew A., Lincoln, Douglas J., Davis, James P., Henderson, Robert D., OSullivan, John D. and Read, Stephen J. (2006) Circadian blood pressure variation after acute stroke. Journal of Clinical Neuroscience, 13 5: 558-562. doi:10.1016/j.jocn.2005.09.003


Author Pandian, Jeyaraj D.
Wong, Andrew A.
Lincoln, Douglas J.
Davis, James P.
Henderson, Robert D.
OSullivan, John D.
Read, Stephen J.
Title Circadian blood pressure variation after acute stroke
Journal name Journal of Clinical Neuroscience   Check publisher's open access policy
ISSN 0967-5868
1532-2653
Publication date 2006
Sub-type Article (original research)
DOI 10.1016/j.jocn.2005.09.003
Volume 13
Issue 5
Start page 558
End page 562
Total pages 5
Editor A. H. Kaye
Place of publication Kidlington, United Kingdom
Publisher Churchill Livingstone
Collection year 2006
Language eng
Subject C1
321013 Neurology and Neuromuscular Diseases
730104 Nervous system and disorders
Abstract We aimed to characterise the patterns of circadian blood pressure (BP) variation after acute stroke and determine whether any relationship exists between these patterns and stroke outcome. BP was recorded manually every 4 h for 48 h following acute stroke. Patients were classified according to the percentage fall in mean systolic BP (SBP) at night compared to during the day as: dippers (fall >= 10-<20%); extreme dippers (>= 20%); non-dippers (>= 0-<10%); and reverse dippers (<0%, that is, a rise in mean nocturnal SBP compared to mean daytime SBP). One hundred and seventy-three stroke patients were included in the study (83 men, 90 women; mean age 74.3 years). Four patients (2.3%) were extreme dippers, 25 (14.5%) dippers, 80 (46.2%) non-dippers and 64 (36.9%) reverse dippers. There was a non-significant trend in the proportion of patients who were dead or dependent at 3 months in the extreme dipper (p = 0.59) and reverse dipper (p = 0.35) groups. Non-dipping and reverse-dipping were relatively common patterns of circadian BP variation seen in acute stroke patients. These patterns were not clearly associated with outcome.
Keyword Clinical Neurology
Neurosciences
Circadian Variations
Blood Pressure
Diurnal
Acute Stroke
Elderly Hypertensive Patients
Silent Cerebrovascular Damage
Acute-phase
Disease
Q-Index Code C1
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2007 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 09:52:05 EST