Blood pressure control and recurrence of hypertensive brain hemorrhage

Recent studies have demonstrated that recurrence of hypertensive brain hemorrhage (HBH) is not uncommon. However, risk factors for the recurrence of HBH have not been evaluated systematically. We analyzed 74 patients with HBH who were admitted to our clinic and followed up as outpatients for a mean...

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Bibliographic Details
Published in:Stroke (1970) 1998-09, Vol.29 (9), p.1806-1809
Main Authors: ARAKAWA, S, SAKU, Y, IBAYASHI, S, NAGAO, T, FUJISHIMA, M
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Blood Pressure
Cerebral Hemorrhage - epidemiology
Cerebral Hemorrhage - etiology
Cerebral Hemorrhage - prevention & control
Cerebrovascular Disorders - epidemiology
Cerebrovascular Disorders - etiology
Cerebrovascular Disorders - prevention & control
Female
Humans
Hypertension - complications
Hypertension - epidemiology
Male
Medical sciences
Middle Aged
Neurology
Predictive Value of Tests
Recurrence
Risk Factors
Vascular diseases and vascular malformations of the nervous system
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Summary:Recent studies have demonstrated that recurrence of hypertensive brain hemorrhage (HBH) is not uncommon. However, risk factors for the recurrence of HBH have not been evaluated systematically. We analyzed 74 patients with HBH who were admitted to our clinic and followed up as outpatients for a mean of 2.8 years. Blood pressure (BP) and other clinical features were compared between the groups of patients with and without rebleeding. We determined the recurrence rate of HBH in relation to BP. Diastolic BP was significantly higher in the recurrence group than in the nonrecurrence group (88+/-8 versus 82+/-7 mm Hg; P=0.04). Systolic BP and other clinical variables were not different between the groups. The recurrence rate was 10.0% per patient-year in patients with diastolic BP >90 mm Hg and
ISSN:0039-2499
1524-4628
DOI:10.1161/01.str.29.9.1806