Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Systolic BP Within 24 Hours After Thrombectomy

J Am Heart Assoc; ePub 2017 May 18; Mistry, et al

Higher peak values of systolic blood pressure (BP) in adult patients who underwent mechanical thrombectomy independently correlated with worse 90-day modified Rankin scale and a higher rate of hemorrhagic complications, a recent study found. The retrospective study included adult patients who underwent mechanical thrombectomy for acute ischemic stroke of the anterior cerebral circulation at 3 institutions from March 2015 to October 2016 and aimed to determine the association between BP parameters within the first 24 hours after mechanical thrombectomy and patient outcomes. Researchers found:

  • 228 patients were included (mean age 65.8 years, 45.6% male).
  • Maximum systolic BP independently correlated with a worse 90-day modified Rankin scale and hemorrhagic complications within 48 hours, after adjustments for confounders.

Citation:

Mistry EA, Mistry AM, Nakawah MO, et al. Systolic blood pressure within 24 hours after thrombectomy for acute ischemic stroke correlates with outcome. [Published online ahead of print May 18, 2017]. J Am Heart Assoc. doi:10.1161/JAHA.117.006167.

This Week's Must Reads

Improving CV Health in Women Through Provider Collaboration, Circulation; ePub 2018 May 10; Brown, et al

Burden of AF With Risk of Stroke in Paroxysmal AF, JAMA Cardiol; ePub 2018 May 16; Go, et al

OSA & Risk of Hospitalization in Patients with HFpEF, Am J Cardiol; ePub 2018 May 11; Abdullah, et al

Air Pollution Exposure in Pregnancy & Risk of High BP, Hypertension; ePub 2018 May 14; Zhang, et al

Total & CV Mortality After LDL-C Lowering, JAMA; 2018 Apr 17; Navarese, et al

Must Reads in Hypertension

Air Pollution Exposure in Pregnancy & Risk of High BP, Hypertension; ePub 2018 May 14; Zhang, et al

Clinical & Ambulatory BP Measurements & Mortality, N Engl J Med; 2018 Apr 19; Banegas, et al

DBP & Adverse Outcomes in Patients with HFpEF, J Am Heart Assoc; ePub 2018 Feb 23; Sandesara, et al

AHA Statement on CVD & Breast Cancer, Circulation; ePub 2018 Feb 1; Mehta, et al

Comparing CV Risk Factors in US and China, J Am Heart Assoc; ePub 2018 Jan 26; Lu, et al