Dynamics of blood pressure and neurological deficit in the acute phase of stroke among patients with and without diabetes mellitus

Aim. The haemodynamics of patients with diabetes mellitus 2 during acute ischaemic stroke and their connection with the recovery of neurological deficit has been inadequately studied.Materials and Methods. We studied the blood pressure dynamics of 183 patients with mild-to-moderate acute ischaemic s...

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Autor principal:	Anna Popelysheva Eduardovna
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2015
Materias:	diabetes mellitus ischaemic stroke hypertension blood pressure neurological deficits Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/82d8bf09d72045c1b948ded9f0be15b5
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spelling	oai:doaj.org-article:82d8bf09d72045c1b948ded9f0be15b52021-11-14T09:00:20ZDynamics of blood pressure and neurological deficit in the acute phase of stroke among patients with and without diabetes mellitus2072-03512072-037810.14341/DM7176https://doaj.org/article/82d8bf09d72045c1b948ded9f0be15b52015-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/7176https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aim. The haemodynamics of patients with diabetes mellitus 2 during acute ischaemic stroke and their connection with the recovery of neurological deficit has been inadequately studied.Materials and Methods. We studied the blood pressure dynamics of 183 patients with mild-to-moderate acute ischaemic stroke receiving antihypertensive therapy, depending on whether or not they had type 2 diabetes mellitus.Results. In patients with diabetes, high blood pressure persisted during the first week, mainly because of the diastolic index, and they had a more rapid decline in blood pressure in the second week than those without diabetes. However, reaching the target blood pressure of <160/100 mmHg was faster in patients with diabetes, regardless of the intensity of antihypertensive therapy. Although diabetes significantly correlated with the efficiency of recovery of neurological deficit, it also showed a tendency to frequent functional impairment in patients with diabetes than those without diabetes.Conclusions. The results suggest that patients with diabetes and hypertension require less aggressive treatment, particularly in the second week of hospitalization. This may affect the efficiency of recovery of functional deficits. Further study of blood pressure dynamics and their relation to functional recovery of neurological deficit is required during the acute period after an ischaemic stroke in patients with diabetes.Anna Popelysheva EduardovnaEndocrinology Research Centrearticlediabetes mellitusischaemic strokehypertensionblood pressureneurological deficitsNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 18, Iss 4, Pp 113-118 (2015)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	diabetes mellitus ischaemic stroke hypertension blood pressure neurological deficits Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	diabetes mellitus ischaemic stroke hypertension blood pressure neurological deficits Nutritional diseases. Deficiency diseases RC620-627 Anna Popelysheva Eduardovna Dynamics of blood pressure and neurological deficit in the acute phase of stroke among patients with and without diabetes mellitus
description	Aim. The haemodynamics of patients with diabetes mellitus 2 during acute ischaemic stroke and their connection with the recovery of neurological deficit has been inadequately studied.Materials and Methods. We studied the blood pressure dynamics of 183 patients with mild-to-moderate acute ischaemic stroke receiving antihypertensive therapy, depending on whether or not they had type 2 diabetes mellitus.Results. In patients with diabetes, high blood pressure persisted during the first week, mainly because of the diastolic index, and they had a more rapid decline in blood pressure in the second week than those without diabetes. However, reaching the target blood pressure of <160/100 mmHg was faster in patients with diabetes, regardless of the intensity of antihypertensive therapy. Although diabetes significantly correlated with the efficiency of recovery of neurological deficit, it also showed a tendency to frequent functional impairment in patients with diabetes than those without diabetes.Conclusions. The results suggest that patients with diabetes and hypertension require less aggressive treatment, particularly in the second week of hospitalization. This may affect the efficiency of recovery of functional deficits. Further study of blood pressure dynamics and their relation to functional recovery of neurological deficit is required during the acute period after an ischaemic stroke in patients with diabetes.
format	article
author	Anna Popelysheva Eduardovna
author_facet	Anna Popelysheva Eduardovna
author_sort	Anna Popelysheva Eduardovna
title	Dynamics of blood pressure and neurological deficit in the acute phase of stroke among patients with and without diabetes mellitus
title_short	Dynamics of blood pressure and neurological deficit in the acute phase of stroke among patients with and without diabetes mellitus
title_full	Dynamics of blood pressure and neurological deficit in the acute phase of stroke among patients with and without diabetes mellitus
title_fullStr	Dynamics of blood pressure and neurological deficit in the acute phase of stroke among patients with and without diabetes mellitus
title_full_unstemmed	Dynamics of blood pressure and neurological deficit in the acute phase of stroke among patients with and without diabetes mellitus
title_sort	dynamics of blood pressure and neurological deficit in the acute phase of stroke among patients with and without diabetes mellitus
publisher	Endocrinology Research Centre
publishDate	2015
url	https://doaj.org/article/82d8bf09d72045c1b948ded9f0be15b5
work_keys_str_mv	AT annapopelyshevaeduardovna dynamicsofbloodpressureandneurologicaldeficitintheacutephaseofstrokeamongpatientswithandwithoutdiabetesmellitus
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Dynamics of blood pressure and neurological deficit in the acute phase of stroke among patients with and without diabetes mellitus

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