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Differences in admission blood pressure among causes of intracerebral hemorrhage

Stroke Dec 14, 2019

Lin J, Piran P, Lerario MP, et al. - Since it is not known whether admission systolic blood pressure (SBP) varies among causes of intracerebral hemorrhage (ICH), researchers endeavoured to illustrate a relationship between admission BP and ICH cause. In the Cornell Acute Stroke Academic Registry, which includes all adults with ICH at the center from 2011 to 2017, they contrasted admission SBP, defined as the first recorded value in the emergency department or on transfer from another hospital, across ICH causes among patients. Among 484 ICH individuals, admission SBP differed significantly across ICH causes, ranging from 138 (± 24) mm Hg in those with structural vascular lesions to 167 (± 35) mm Hg in those with hypertensive ICH. Overall, the authors concluded that SBP differed significantly among ICH causes, both on admission and during hospitalization. Findings indicate that BP in the acute post-ICH setting is at least partly related to ICH cause rather than merely reflecting a physiological reaction to the ICH itself.
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