Stroke Severity in Ischemic Stroke Patients with a History of Diastolic Blood Pressure Treated in a Telestroke Network

Brown, Christina M.; Terrell, Kameron; Goodwin, Richard L.; Nathaniel, Thomas I.

doi:10.3390/jcdd9100345

Cited by 8 publications

(5 citation statements)

References 79 publications

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“…This did not reveal any statical significant differences between hypertension and stroke severity (p=0.48), that was similarly reported by Sivaji et al from India [21] and Omar et al from Sudan [23]. However, hypertension had a significant association with stroke severity in several studies [41,42], which could be explained by the fact that the reason for this discrepancy may be related to small sample size.…”

Section: Discussionsupporting

confidence: 48%

ROLE OF GLYCATED HEMOGLOBIN (HbA1c) ON SEVERITY OF ISCHEMIC STROKE IN PATIENTS WITH (TYPE1AND 2) DIABETES MELLITUS

Hussein,

Almansoob

2024

Electron. J. Univ. Aden Basic Appl. Sci.

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Diabetes mellitus is a metabolic disorder that can interact with atherosclerosis in ischemic strokes to initiate, activate and propagate vascular events. Glycated hemoglobin (HbA1c) has emerged as a useful biochemical marker reflecting the average glycemic control over the last 3 months, its prognostic value in the acute neurological conditions such as stroke is still not well-established. To study the effect of glycemic status (HbA1c) on severity of acute ischemic stroke in patients with diabetes (type1 and 2) at admission. This was a prospective cross sectional, hospital-based study done at Aden public and private hospitals for a period of thirteen months (January 2020 to February 2021). We evaluated 75 diabetic patients with acute ischemic stroke which was confirmed by brain computed tomography (CT scan). All subjects had blood hemoglobin A1c (HbA1c) measured at admission. They were classified into two groups according to the level of HbA1c: good glycemic control group ((GGC)) HbA1c<7.0% and poor glycemic control group((PGC))) HbA1c ≥7). Neurological impairment was evaluated by using the National Institutes of Health Stroke Scale (NIHSS). A higher percentage of patients (84%) with acute ischemic stroke had elevated HbA1C levels (≥7), High percentage of patients in PGC (66.7%) as well as who were in GGC (75%) had moderate to severe stroke (NIHSS >8). The association between stroke severity and HbA1C levels on admission was statistically not significant (P value> 0.05). We found that HbA1c cannot be used for predication of severity in diabetic patients with ischemic stroke. Our results provide evidence that although chronic hyperglycemia increases risk of stroke, it is not associated with increased stroke severity.

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Section: Discussionsupporting

confidence: 48%

ROLE OF GLYCATED HEMOGLOBIN (HbA1c) ON SEVERITY OF ISCHEMIC STROKE IN PATIENTS WITH (TYPE1AND 2) DIABETES MELLITUS

Hussein,

Almansoob

2024

Electron. J. Univ. Aden Basic Appl. Sci.

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“…20 Other studies, however, have found that diastolic blood pressure more than 80 mmHg is associated with poor outcomes in cases of ischemic stroke. 35,36 The majority of the study subjects (n = 32, n% = 80%) had systolic blood pressure > 140 mmHg or diastolic blood pressure > 90 mmHg when they arrived at the hospital. With these values, blood pressure can be categorized as stage 2 hypertension.…”

Section: Discussionmentioning

confidence: 99%

Hypertensive and Non-hypertensive Hospital Admission Blood Pressure Association with Cognitive Function in Stroke Patients

Rifqi,

Setyowatie,

Putranto

2024

AKSONA

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Highlight: A comparative study of hypertension and non-hypertension on cognitive function. Hospital admission blood pressure and cognitive function in acute-phase stroke patients. Blood pressure is not associated with cognitive function. ABSTRACT Introduction: Cognitive impairment is one of the many stroke effects. White matter damage, microinfarcts, microbleeding, atrophy, and amyloid buildup in the brain due to stroke are all potential causes of this condition. Cognitive impairment studies have yet to provide a definitive explanation for how this condition develops following a stroke. Blood pressure is one of several risk factors for stroke. Meanwhile, few studies have been conducted on the association between blood pressure and cognitive function in stroke patients, and no definitive results have been established. Objective: This research was designed to examine and evaluate the difference in the measured cognitive function category between hypertensive and non-hypertensive hospital admission blood pressure stroke patients. Methods: This research used a cross-sectional design with a consecutive sampling method on acute stroke patients at Dr. Soetomo General Academic Hospital. The MMSE (Mini Mental State Examination) was carried out to assess the degree of cognitive function. The blood pressure measured is the hospital admission blood pressure. Results: There were 40 patients included in this study. A total of 36 patients (90%) were in the hypertension group (blood pressure ≥ 130/80 mmHg), and 4 patients (10%) were in the non-hypertension group (blood pressure < 130/80 mmHg). The MMSE results showed that 10 patients performed with no cognitive impairment, 12 patients performed with mild cognitive impairment, and 18 patients performed with severe cognitive impairment. Statistical analysis of the Mann-Whitney U test showed that p = 0.561. Conclusion: There was no difference in the measured cognitive function category between hypertensive and non-hypertensive hospital admission blood pressure stroke patients.

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“…In addition, obese individuals who are smokers present with a risk of circulatory and cerebrovascular diseases with increased mortality by 7- to 10-fold for smokers compared to normal-weight and non-smokers [ 9 ]. Both smoking and obesity have been linked to increased incidence of stroke in both male and female AIS patients [ 10 , 11 ], but sex differences in obese AIS patients with a current or previous history of smoking are not fully understood.…”

Section: Introductionmentioning

confidence: 99%

Sex differences in clinical risk factors in obese ischemic stroke patients with a history of smoking

Ojo,

Brewer,

Imeh-Nathaniel

et al. 2024

BMC Cardiovasc Disord

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Clinical risk factors associated obesity and smoking, as well as their combined effect, are not fully understood. This study aims to determine sex differences in risk factors in a population of acute ischemic stroke (AIS) patients who are obese and with a history of previous or current smoking. Methods A retrospective analysis of risk factors in male and female AIS patients with baseline data of obesity and current or previous history of smoking, smoking, and obesity alone was determined. The primary predictor and outcome are risk factors associated with male and female AIS patients. Baseline risk factors were analyzed using a multivariate regression analysis to determine specific risk factors linked with the combined effect of obesity and current or previous history of smoking’’. Results Male obese AIS patients who are current or previous smokers were more likely to be older patients(OR = 1.024, 95% CI, 1.022–1.047, P = 0.033) that present with coronary artery disease (OR = 1.806, 95% CI, 1.028–3.174, P = 0.040), a history of alcohol use (OR = 2.873, 95% CI, 1.349–6.166, P = 0.006), elevated serum creatinine (OR = 4.724, 95% CI, 2.171–10.281, P < 0.001) and systolic blood pressure (OR = 1.029, 95% CI, 1.011–1.047, P < 0.002). Females were more associated with depression (OR = 0.432, 95% CI, 0.244–0.764, P = 0.004), previous TIA (OR = 0.319, 95% CI, 0.142–0.714, P < 0.005), and higher levels of HDL (OR = 0.938, 95% CI, 0.915–0.962, P < 0.001). Conclusion Our results reveal sex differences in risk factors in obese AIS patients with a current or past history of smoking. This finding emphasizes the need to develop management strategies to improve the care of obese AIS patients who are either current or former smokers.

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Stroke Severity in Ischemic Stroke Patients with a History of Diastolic Blood Pressure Treated in a Telestroke Network

Cited by 8 publications

References 79 publications

ROLE OF GLYCATED HEMOGLOBIN (HbA1c) ON SEVERITY OF ISCHEMIC STROKE IN PATIENTS WITH (TYPE1AND 2) DIABETES MELLITUS

ROLE OF GLYCATED HEMOGLOBIN (HbA1c) ON SEVERITY OF ISCHEMIC STROKE IN PATIENTS WITH (TYPE1AND 2) DIABETES MELLITUS

Hypertensive and Non-hypertensive Hospital Admission Blood Pressure Association with Cognitive Function in Stroke Patients

Sex differences in clinical risk factors in obese ischemic stroke patients with a history of smoking

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