지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Hypertension is the most important potentially reversible risk factor for stroke in all age groups; high blood pressure (BP) is also associated with increased risk of recurrent stroke in patients who have already had an ischemic or hemorrhagic event. Twenty-four hour ambulatory BP monitoring (ABPM) has become an important tool for improving the diagnosis and management of hypertension, and is increasingly used to assess patients with hypertension. Nevertheless, although ABPM devices are increasingly used for assessment of hypertension, their value in the chronic management of hypertension in patients with stroke has not been systematically studied. In fact, among large-scale randomized trials for secondary stroke prevention, only the Morbidity and Mortality After Stroke, Eprosartan Compared With Nitrendipine for Secondary Prevention trial included 24-hour ABPM. ABPM has demonstrated chronic disruption of the circadian rhythm of BP after acute phase of stroke and has shown higher sensitivity compared to office BP in evaluating the effectiveness of antihypertensive treatment among stroke survivors. High 24-hour BP is an independent predictor for cerebrovascular events, brain microbleeds, and subsequent development of dementia. Nevertheless, although stroke care guidelines endorse the importance of hypertension management, the specific role of ABPM among stroke survivors after the acute phase of disease has not been established. Further studies are needed to clarify whether routine application of ABPM among these patients should be recommended.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Goldstein LB / 2006 / Primary prevention of ischemic stroke : a guideline from the American Heart Association/American Stroke Association Stroke Council / Stroke 37:1583~1633
Lawes CM / 2006 / Blood pressure and the global burden of disease 2000. Part II: estimates of attributable burden / J Hypertens 24:423~430
Castilla-Guerra L / 2012 / Update on the management of hypertension for secondary stroke prevention / Eur Neurol 68:1~7
Arima H / 2011 / PROGRESS : Prevention of Recurrent Stroke / J Clin Hypertens(Greenwich) 13:693~702
Hansen TW / 2007 / IDACO Investigators. Prognostic superiority of daytime ambulatory over conventional blood pressure in four populations: a meta-analysis of 7030 individuals / J Hypertens 25:1554~1564
Lawes CM / 2006 / Blood pressure and the global burden of disease 2000. Part II: estimates of attributable burden / J Hypertens 24:423~430
Castilla-Guerra L / 2012 / Update on the management of hypertension for secondary stroke prevention / Eur Neurol 68:1~7
Arima H / 2011 / PROGRESS : Prevention of Recurrent Stroke / J Clin Hypertens(Greenwich) 13:693~702
Hansen TW / 2007 / IDACO Investigators. Prognostic superiority of daytime ambulatory over conventional blood pressure in four populations: a meta-analysis of 7030 individuals / J Hypertens 25:1554~1564
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