Blood Pressure Control and Recurrence of Hypertensive Brain Hemorrhage

Shuji Arakawa, Yoshisuke Saku, Setsuro Ibayashi, Tetsuhiko Nagao, Masatoshi Fujishima
1998 Stroke  
and Purpose-Recent studies have demonstrated that recurrence of hypertensive brain hemorrhage (HBH) is not uncommon. However, risk factors for the recurrence of HBH have not been evaluated systematically. Methods-We analyzed 74 patients with HBH who were admitted to our clinic and followed up as outpatients for a mean of 2.8 years. Blood pressure (BP) and other clinical features were compared between the groups of patients with and without rebleeding. We determined the recurrence rate of HBH in
more » ... relation to BP. Results-Diastolic BP was significantly higher in the recurrence group than in the nonrecurrence group (88Ϯ8 versus 82Ϯ7 mm Hg; Pϭ0.04). Systolic BP and other clinical variables were not different between the groups. The recurrence rate was 10.0% per patient-year in patients with diastolic BP Ͼ90 mm Hg and Ͻ1.5% in those with lower diastolic BP (PϽ0.001). No patients with diastolic BP Ͻ70 mm Hg experienced rebleeding. Conclusions-Higher diastolic BP was related to an increased rate of rebleeding. Diastolic BP Ͼ90 mm Hg may be regarded as a factor predictive of the recurrence of HBH. (Stroke. 1998;29:1806-1809.)
doi:10.1161/01.str.29.9.1806 pmid:9731599 fatcat:bylycvuv7zckncbz3rd36wbwmi