Brachial-ankle PWV for predicting clinical outcomes in patients with acute stroke

IF 2.3 4区医学 Q2 PERIPHERAL VASCULAR DISEASE Blood Pressure Pub Date : 2017-01-31 DOI:10.1080/08037051.2017.1283955

K. Ahn, J. Jeong, Seon-Ah Jin, Mijoo Kim, Jin Kyung Oh, U. Choi, Seok-Woo Seong, Jun Hyung Kim, Si-Wan Choi, H. Jeong, H. Song, Jei Kim, I. Seong

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引用次数: 9

Abstract

Abstract Background: Although brachial-ankle pulse wave velocity (baPWV) is well-known for predicting the cardiovascular mortality and morbidity, its anticipated value is not demonstrated well concerning acute stroke. Methods: Total 1557 patients with acute stroke who performed baPWV were enrolled. We evaluated the prognostic value of baPWV predicting all-cause death and vascular death in patients with acute stroke Results: Highest quartile of baPWV was ≥23.64 m/s. All-caused deaths (including vascular death; 71) were 109 patients during follow-up periods (median 905 days). Multivariate Cox regression analysis revealed that patients with the highest quartile of baPWV had higher risk for vascular death when they are compared with patients with all other three quartiles of baPWV (Hazard ratio with 95% confidence interval [CI] 1.879 [1.022–3.456], p = .042 for vascular death). Conclusion: High baPWV was a strong prognostic value of vascular death in patients with acute stroke

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臂踝PWV预测急性脑卒中患者临床转归

摘要背景：尽管臂踝脉搏波速度（baPWV）在预测心血管死亡率和发病率方面是众所周知的，但其对急性脑卒中的预测价值并没有得到很好的证明。方法：对1557例急性脑卒中患者进行baPWV治疗。我们评估了baPWV预测急性卒中患者全因死亡和血管死亡的预后价值。结果：baPWV的最高四分位数≥23.64 m/s。在随访期间（平均905天），109名患者全部死亡（包括血管性死亡；71人）。多变量Cox回归分析显示，与所有其他四分位数baPWV的患者相比，baPWV最高四分位数的患者发生血管死亡的风险更高（95%置信区间的风险比[CI]1.879[1.022–3.456]，p = .042用于血管死亡）。结论：高baPWV对急性脑卒中患者血管死亡具有很强的预后价值

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来源期刊

Blood Pressure 医学-外周血管病

CiteScore

3.00

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： For outstanding coverage of the latest advances in hypertension research, turn to Blood Pressure, a primary source for authoritative and timely information on all aspects of hypertension research and management. Features include: • Physiology and pathophysiology of blood pressure regulation • Primary and secondary hypertension • Cerebrovascular and cardiovascular complications of hypertension • Detection, treatment and follow-up of hypertension • Non pharmacological and pharmacological management • Large outcome trials in hypertension.