Post-ictal blood pressure in aneurysmal subarachnoid haemorrhage.
A prospective study in which the effect of the post-ictal systemic blood pressure levels on the outcome following surgically treated aneurysmal subarachnoid haemorrhage (SAH) in 325 patients is reported. No differentiation was made between pre-existing essential and prolonged reactive hypertension. A significant association was found between the trend for rising diastolic blood pressure levels and the tendency towards a poor outcome. There was a similar trend for rising systolic blood pressure levels which did not reach statistical significance. Patients with definite hypertension (blood pressure of 160/95 mmHg or greater) were 1.6 times as likely to have a poor outcome than were those with lower blood pressures.
O'Neill
P
P
Mersey Regional Department of Medical & Surgical Neurology, Walton Hospital, United Kingdom.
West
C R
CR
Chadwick
D W
DW
Conway
M
M
Foy
P M
PM
Maloney
P
P
Pickard
J D
JD
Spillane
J A
JA
Shaw
M D
MD
D000328:Adult; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012306:Risk; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000503:physiopathology*