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Interarm blood pressure difference and mortality in patients with acute ischemic stroke.

DC FieldValueLanguage
dc.contributor.author허지회-
dc.contributor.author김영대-
dc.contributor.author남정모-
dc.contributor.author남효석-
dc.contributor.author송동범-
dc.contributor.author송태진-
dc.contributor.author이혜선-
dc.date.accessioned2014-12-18T08:38:55Z-
dc.date.available2014-12-18T08:38:55Z-
dc.date.issued2013-
dc.identifier.issn0028-3878-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86697-
dc.description.abstractObjective: The objective of this study was to assess the prognostic value of interarm difference of blood pressure (IAD) measured in acute ischemic stroke and to investigate its association with systemic atherosclerosis. Methods: This was a hospital-based retrospective observational study. Survival data and systolic/diastolic IAD were collected in patients with acute ischemic stroke. Systemic atherosclerosis was determined based on coronary CT angiography, transesophageal echocardiography, ankle-brachial index examination, and cerebral angiography covering both intracranial and extracranial cerebral arteries. Results: Of 834 patients, 10.3% had a systolic IAD ≥10 mm Hg, and 6.0% had a diastolic IAD ≥10 mm Hg. During a mean follow-up period of 2.96 ± 0.95 years, 92 patients died (including 68 cardiovascular deaths). In multivariate Cox regression adjusted for cardiovascular risk factors and initial stroke severity, the presence of systolic IAD ≥10 mm Hg was associated with increased risk of all-cause mortality (hazard ratio [HR] 1.97, 95% confidence interval [CI] 1.16–3.35) and cardiovascular mortality (HR 2.49, 95% CI 1.39–4.46). Patients with diastolic IAD ≥10 mm Hg also had increased risk of all-cause mortality (HR 3.43, 95% CI 1.94–6.08) and cardiovascular mortality (HR 3.51, 95% CI 1.83–6.74). The presence of systolic or diastolic IAD ≥10 mm Hg was associated with peripheral artery disease in the lower limbs, but not with atherosclerosis in the cerebral artery, coronary artery, or the aorta. Conclusions: The presence of interarm systolic or diastolic blood pressure difference ≥10 mm Hg is a strong independent prognostic marker in acute ischemic stroke.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfNeurology-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHArm/blood supply-
dc.subject.MESHAtherosclerosis/complications-
dc.subject.MESHAtherosclerosis/physiopathology-
dc.subject.MESHBiomarkers-
dc.subject.MESHBlood Pressure/physiology*-
dc.subject.MESHBrain Ischemia/mortality*-
dc.subject.MESHBrain Ischemia/physiopathology*-
dc.subject.MESHCause of Death-
dc.subject.MESHCerebrovascular Circulation/physiology-
dc.subject.MESHCoronary Circulation-
dc.subject.MESHFemale-
dc.subject.MESHFunctional Laterality/physiology-
dc.subject.MESHHumans-
dc.subject.MESHKorea/epidemiology-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrognosis-
dc.subject.MESHRegional Blood Flow/physiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHStroke/mortality*-
dc.subject.MESHStroke/physiopathology*-
dc.subject.MESHSurvival Analysis-
dc.titleInterarm blood pressure difference and mortality in patients with acute ischemic stroke.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurology (신경과학)-
dc.contributor.googleauthorJinkwon Kim-
dc.contributor.googleauthorTae-Jin Song-
dc.contributor.googleauthorDongbeom Song-
dc.contributor.googleauthorHye Sun Lee-
dc.contributor.googleauthorChung Mo Nam-
dc.contributor.googleauthorHyo Suk Nam-
dc.contributor.googleauthorYoung Dae Kim-
dc.contributor.googleauthorJi Hoe Heo-
dc.identifier.doi10.1212/WNL.0b013e31828cf87c-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04369-
dc.contributor.localIdA00702-
dc.contributor.localIdA01264-
dc.contributor.localIdA01273-
dc.contributor.localIdA02017-
dc.contributor.localIdA02073-
dc.contributor.localIdA03312-
dc.relation.journalcodeJ02340-
dc.identifier.pmid23516316-
dc.identifier.urlhttp://www.neurology.org/content/80/16/1457.long-
dc.subject.keywordAged-
dc.subject.keywordArm/blood supply-
dc.subject.keywordAtherosclerosis/complications-
dc.subject.keywordAtherosclerosis/physiopathology-
dc.subject.keywordBiomarkers-
dc.subject.keywordBlood Pressure/physiology*-
dc.subject.keywordBrain Ischemia/mortality*-
dc.subject.keywordBrain Ischemia/physiopathology*-
dc.subject.keywordCause of Death-
dc.subject.keywordCerebrovascular Circulation/physiology-
dc.subject.keywordCoronary Circulation-
dc.subject.keywordFemale-
dc.subject.keywordFunctional Laterality/physiology-
dc.subject.keywordHumans-
dc.subject.keywordKorea/epidemiology-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordPrognosis-
dc.subject.keywordRegional Blood Flow/physiology-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordRisk Factors-
dc.subject.keywordStroke/mortality*-
dc.subject.keywordStroke/physiopathology*-
dc.subject.keywordSurvival Analysis-
dc.contributor.alternativeNameHeo, Ji Hoe-
dc.contributor.alternativeNameKim, Young Dae-
dc.contributor.alternativeNameNam, Jung Mo-
dc.contributor.alternativeNameNam, Hyo Suk-
dc.contributor.alternativeNameSong, Dong Beom-
dc.contributor.alternativeNameSong, Tae Jin-
dc.contributor.alternativeNameLee, Hye Sun-
dc.contributor.affiliatedAuthorHeo, Ji Hoe-
dc.contributor.affiliatedAuthorKim, Young Dae-
dc.contributor.affiliatedAuthorNam, Jung Mo-
dc.contributor.affiliatedAuthorNam, Hyo Suk-
dc.contributor.affiliatedAuthorSong, Dong Beom-
dc.contributor.affiliatedAuthorSong, Tae Jin-
dc.contributor.affiliatedAuthorLee, Hye Sun-
dc.rights.accessRightsnot free-
dc.citation.volume80-
dc.citation.number16-
dc.citation.startPage1457-
dc.citation.endPage1464-
dc.identifier.bibliographicCitationNeurology, Vol.80(16) : 1457-1464, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers

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