دورية أكاديمية

Baseline systolic blood pressure, hypertension history, and efficacy of remote ischemic conditioning

التفاصيل البيبلوغرافية
العنوان: Baseline systolic blood pressure, hypertension history, and efficacy of remote ischemic conditioning
المؤلفون: Cai, Ji‐Ru, Zhang, Nan‐Nan, Cui, Yu, Ning, Yue‐Xin, Wu, Qiong, Zhang, Yi‐Na, Chen, Hui‐Sheng
المصدر: Annals of Clinical and Translational Neurology ; ISSN 2328-9503 2328-9503
بيانات النشر: Wiley
سنة النشر: 2024
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Objective We performed a post hoc exploratory analysis of Remote Ischemic Conditioning for Acute Moderate Ischemic Stroke (RICAMIS) to determine whether hypertension history and baseline systolic blood pressure (SBP) affect the efficacy of remote ischemic conditioning (RIC). Methods Based on the full analysis set of RICAMIS, patients were divided into hypertension versus non‐hypertension group, or <140 mmHg versus ≥140 mmHg group. Each group was further subdivided into RIC and control subgroups. The primary outcome was modified Rankin Scale (mRS) 0–1 at 90 days. Efficacy of RIC was compared among patients with hypertension versus nonhypertension history and SBP of <140 mmHg versus ≥140 mmHg. Furthermore, the interaction effect of treatment with hypertension and SBP was assessed. Results Compared with control group, RIC produced a significantly higher proportion of patients with excellent functional outcome in the nonhypertension group (RIC vs. control: 65.7% vs. 57.0%, OR 1.45, 95% CI 1.06–1.98; p = 0.02), but no significant difference was observed in the hypertension group (RIC vs. control: 69.1% vs. 65.2%, p = 0.17). Similar results were observed in SBP ≥140 mmHg group (RIC vs. control: 68.0% vs. 61.2%, p = 0.009) and SBP <140 mmHg group (RIC vs. control: 65.6% vs. 64.7%, p = 0.77). No interaction effect of RIC on primary outcome was identified. Interpretation Hypertension and baseline SBP did not affect the neuroprotective effect of RIC, but they were associated with higher probability of excellent functional outcome in patients with acute moderate ischemic stroke who received RIC treatment.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1002/acn3.52077
الإتاحة: https://doi.org/10.1002/acn3.52077Test
حقوق: http://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.4A0683D7
قاعدة البيانات: BASE