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Admission BP & Outcomes in Patients with TIA

Am J Cardiol; ePub 2019 Jan 11; Bangalore, et al

Higher admission blood pressure (BP) among patients with a transient ischemic attack (TIA) is associated with improved in-hospital, 30-day, and 90-day post-discharge outcomes, a new study found. Patients in the US national Get With the Guidelines-Stroke registry with a TIA were included. Post-discharge 30-day and 90-day outcomes of interest were mortality, readmission for stroke, and readmission for major cardiovascular event (MACE). Among the details:

  • Among the 218,803 patients with TIA, lower admission systolic blood pressure (SBP) was associated with worse in-hospital outcomes.
  • Compared with patients with SBP of 150 mm Hg, a lower SBP of 120 mm Hg was associated with higher risk of in-hospital death, not being discharged home, or inability to ambulate independently at discharge.
  • Similarly, among the 64,352 patients in the CMS-linked cohort, an inverse association between SBP and post-discharge mortality and MACE was observed to 30- and 90-days post-discharge.

Citation:

Bangalore S, Schwamm L, Smith EE, et al. Relation of admission blood pressure to in-hospital and 90-day outcomes in patients presenting with transient ischemic attack. [Published online ahead of print January 11, 2019]. Am J Cardiol. doi:10.1016/j.amjcard.2018.12.037.