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Increased blood pressure after intravascular thrombectomy (EVT) is associated with increased risk of hemorrhagic transformation and poor functional prognosis
.
However, the optimal hemodynamic management after EVT is still unknown, and the blood pressure management process in the acute phase of ischemic stroke has not been well summarized
Recently, a research article was published in Stroke, an authoritative journal in the field of cardiovascular diseases, which aims to identify subgroups of patients with different blood pressure trajectories after EVT, and to study their association with imaging results and functional outcomes
.
This multicenter retrospective cohort study included consecutive patients with anterior circulation large vessel occlusive ischemic stroke who received EVT
.
Repeated recording of blood pressure data within the first 72 hours after thrombus removal
The study included 2268 patients (mean age [±SD] of 69±15, and National Institutes of Health stroke scale score of 15±7) were included in the analysis
.
Five different SBP trajectories were observed: low (18%), medium (37%), medium to high (20%), high to medium (18%), and high (6%)
It can be seen that patients with acute ischemic stroke show different trajectories of SBP changes in the first 72 hours after EVT, and these trajectories have different correlations with functional outcomes
.
These results may help identify potential candidates for future blood pressure regulation trials
Acute ischemic stroke patients show different SBP change trajectories in the first 72 hours after EVT, and these trajectories have different correlations with functional outcomes
Original source:
Nils H.
