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dc.contributor.author김현영-
dc.date.accessioned2018-03-20T06:06:45Z-
dc.date.available2018-03-20T06:06:45Z-
dc.date.issued2014-02-
dc.identifier.citationAMERICAN JOURNAL OF HYPERTENSION; FEB 2014, 27, 2, p177-p183en_US
dc.identifier.issn0895-7061-
dc.identifier.urihttps://academic.oup.com/ajh/article/27/2/177/161713-
dc.identifier.urihttp://hdl.handle.net/20.500.11754/49602-
dc.description.sponsorshipWhite matter lesions (WMLs) are a common finding in stroke patients, and the most important risk factors are old age and hypertension. Although many studies have described the association between WMLs and ambulatory blood pressure monitoring (ABPM) parameters in healthy subjects and hypertensive patients, little is known about the association in hypertensive ischemic stroke patients. From July 2009 to June 2012, 169 consecutive hypertensive noncardioembolic ischemic stroke patients were recruited within 1 week of suffering a stroke, and ABPM was applied 1 or 2 weeks after stroke onset. The subjects were classified into 2 groups according to the presence of advanced WMLs, and their ABPM parameters were compared. Finally, multivariable logistic regression analyses were performed to investigate the independent relationships between WMLs and ABPM parameters. Seventy (41%) patients had advanced WMLs. In univariable analysis, higher 24-hour, awake, and asleep systolic blood pressure (SBP)/diastolic blood pressure levels and 24-hour pulse pressure were associated with advanced WMLs. However, circadian blood pressure parameters such as 24-hour BP variability, morning surge, and nocturnal dipping pattern were not associated with advanced WMLs. After adjustments, old age (odds ratio (OR) 1.063; 95% confidence interval (CI) 1.0241.104; P 0.002), high 24-hour SBP levels (OR 1.055; 95% CI 1.0281.082; P < 0.001), and high 24-hour heart rate (OR 1.041; 95% CI 1.0061.078; P 0.023) were independently associated with advanced WMLs. In addition to old age and elevated 24-hour SBP, increased heart rate is associated with advanced WMLs in ischemic stroke patients. Heart rate deserves more attention in predicting advanced WMLs in those patients.en_US
dc.language.isoenen_US
dc.publisherOXFORD UNIV PRESSen_US
dc.subjectambulatory blood pressure monitoringen_US
dc.subjectblood pressureen_US
dc.subjectheart rateen_US
dc.subjecthypertensionen_US
dc.subjectischemic strokeen_US
dc.subjectwhite matter lesionsen_US
dc.titleAssociation of Ambulatory Blood Pressure and Heart Rate With Advanced White Matter Lesions in Ischemic Stroke Patientsen_US
dc.typeArticleen_US
dc.relation.volume27-
dc.identifier.doi10.1093/ajh/hpt199-
dc.relation.page177-183-
dc.relation.journalAMERICAN JOURNAL OF HYPERTENSION-
dc.contributor.googleauthorKim, Young Seo-
dc.contributor.googleauthorKwon, Hyuk Sung-
dc.contributor.googleauthorKim, Hyun Young-
dc.contributor.googleauthorKim, Hee-Tae-
dc.contributor.googleauthorLim, Young-Hyo-
dc.contributor.googleauthorKwon, Hyung-Min-
dc.contributor.googleauthorLim, Jae-Sung-
dc.contributor.googleauthorLee, Young-Jun-
dc.contributor.googleauthorKim, Ji Young-
dc.relation.code2014024673-
dc.sector.campusS-
dc.sector.daehakCOLLEGE OF MEDICINE[S]-
dc.sector.departmentDEPARTMENT OF MEDICINE-
dc.identifier.pidhyoungkim1-
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