Poor Long-Term Blood Pressure Control After Intracerebral Hemorrhage

Hypertension is the most important risk factor associated with intracerebral hemorrhage. We explored racial differences in blood pressure (BP) control after intracerebral hemorrhage and assessed predictors of BP control at presentation, 30 days, and 1 year in a prospective cohort study. Subjects wit...

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Bibliographic Details
Published in:Stroke (1970) 2012-10, Vol.43 (10), p.2580-2585
Main Authors: Zahuranec, Darin B., Wing, Jeffrey J., Edwards, Dorothy F., Menon, Ravi S., Fernandez, Stephen J., Burgess, Richard E., Sobotka, Ian A., German, Laura, Trouth, Anna J., Shara, Nawar M., Gibbons, M. Chris, Boden-Albala, Bernadette, Kidwell, Chelsea S.
Format: Article
Language:English
Subjects:
African Continental Ancestry Group - ethnology
Antihypertensive Agents - therapeutic use
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure - physiology
Cardiology. Vascular system
Cerebral Hemorrhage - ethnology
Cerebral Hemorrhage - physiopathology
Clinical manifestations. Epidemiology. Investigative techniques. Etiology
Cohort Studies
Environment
European Continental Ancestry Group - ethnology
Female
Follow-Up Studies
Humans
Hypertension - ethnology
Hypertension - physiopathology
Hypertension - prevention & control
Linear Models
Longitudinal Studies
Male
Medical sciences
Middle Aged
Multivariate Analysis
Neurology
Predictive Value of Tests
Prospective Studies
Social Support
Time Factors
Treatment Outcome
Vascular diseases and vascular malformations of the nervous system
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Summary:Hypertension is the most important risk factor associated with intracerebral hemorrhage. We explored racial differences in blood pressure (BP) control after intracerebral hemorrhage and assessed predictors of BP control at presentation, 30 days, and 1 year in a prospective cohort study. Subjects with spontaneous intracerebral hemorrhage were identified from the DiffErenCes in the Imaging of Primary Hemorrhage based on Ethnicity or Race (DECIPHER) Project. BP was compared by race at each time point. Multivariable linear regression was used to determine predictors of presenting mean arterial pressure, and longitudinal linear regression was used to assess predictors of mean arterial pressure at follow-up. A total of 162 patients were included (mean age, 59 years; 53% male; 77% black). Mean arterial pressure at presentation was 9.6 mm Hg higher in blacks than whites despite adjustment for confounders (P=0.065). Fewer than 20% of patients had normal BP (
ISSN:0039-2499
1524-4628
DOI:10.1161/STROKEAHA.112.663047