This study examines blood pressure (BP) and independent factors related to BP in the acute phase of stroke. The study is part of the community-based Copenhagen Stroke Study. In a multivariate regression model we analyzed the impact of clinical and medical factors on admission BP. BP declined with increasing time from stroke onset with a total of 8/4 mm Hg. Independent factors related to diastolic BP were ischemic heart disease (–3.9 mm Hg), male gender (2.2 mm Hg), known hypertension prior to stroke (8.6 mm Hg), and primary hemorrhage (9.7 mm Hg). Independent factors related to systolic BP were age (3.6 mm Hg/10-year increase), atrial fibrillation (–7.2 mm Hg), ischemic heart disease (–6.0 mm Hg), intracerebral hemorrhage (13.3 mm Hg), and known hypertension prior to stroke (16.3 mm Hg). No independent relations were seen between BP and diabetes, claudication, previous stroke, smoking, daily alcohol consumption, initial stroke severity and lesion size. The increase in BP in the acute phase of stroke is a uniform response to the ischemic event per se. BP is not related to stroke severity. Several factors are independently related to the BP level in acute stroke. The clinical significance of this is yet to be tested, but these factors may contribute to the seemingly complex relation between BP and outcome.

No abstract

In general practice, the proportion of hypertensive patients achieving optimal BP control is inadequate. The majority of hypertensive patients are treated with only one or two antihypertensive drugs.

To study a potential interaction between digoxin and two non‐steroid anti‐inflammatory drugs, indomethacin (50 mg three times daily) and ibuprofen (600 mg three times daily) were given for 10 days to 10 and 8 patients, respectively, on chronic digoxin treatment. Serum digoxin measured by fluorescence polarisation immunoassay increased significantly (P less than 0.05) during treatment with indomethacin from pre‐treatment values of 0.73 +/− 0.34 nmol l‐1 (mean +/− s.d.) to a mean value of 1.02 +/− 0.43 nmol l‐1, while administration of ibuprofen did not change the steady state serum concentration of digoxin. The result demonstrates that some non‐steroidal anti‐ inflammatory drugs such as indomethacin increase serum digoxin to levels high in the therapeutic range. This should be taken into consideration when co‐administering other drugs known to increase the serum concentration of digoxin such as several antiarrhythmics.

Three hundred 8-year-old Shorthorn and Santa Gertrudis bulls, with a 47% incidence of Tritrichomonas foetus infection in the 30 surveyed, were removed from a herd of approximately 6000 cows and replaced by 325 two-year-old Brahman bulls. A sample of 50 of the replacement bulls was examined at introduction and found to be uninfected. After 2 years, the incidence of infection in a sample of 80 of the replacement bulls was 4%. The results suggests that a major reduction in incidence of infection in extensively managed herds might be achieved by the exclusive use of young bulls for mating.