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

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... 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.)