Issue: 2019, Vol. 24, No. 3

T. V. Mikhailovskaya, I. E. Mishina, M. Yu. Tochyonov

CONNECTION OF ARTERIAL HYPERTENSION PARAMETERS AND VITAL ACTIVITY LIMITATION IN ACUTE PERIOD OF ISCHEMIC STROKE

Keywords

hemodynamic indices, ischemic stroke, arterial pressure, invalidism degree, vital activity limitation.

Abstarct

Objective – to describe cardiovascular pathology and to reveal the peculiarities of daily profile of arterial pressure in patients in acute period of ischemic stroke with different degree of vital activity limitation on 21st day of the disease.Material and methods. 105 patients with ischemic stroke were examined (63 men and 62 women, average age – 67 [60; 74] years). The standard examination and daily monitoring of arterial pressure by “МДП – НС - 02” monitor were performed. Two groups of patients were singled out according to the results of the determination of vital activity limitation degree on 21st day of ischemic stroke (by modified Rankin scale): the first group was formed of 37 patients (35,2%) with severe degree of vital activity limitation (3 and more points by modified Rankin scale), the second group was composed of 68 patients (64,8%) with moderate degree of vital activity limitation (0 – 2 points by modified Rankin scale). Results and discussion. Symptomatic chronic heart failure, left ventricle hypertrophy, hemodynamically significant stenosis of carotid arteries were more frequently diagnosed in patients of the 1st group in comparison with the 2nd one. Clinical arterial pressure in first 24 hours of ischemic insult was proved to be heightened in the most part of the examined persons from the both groups. Trustworthy higher average daily meanings of systolic arterial pressure (169 [148; 181] vs 153 [150; 182], p < 0,05), average arterial pressure, hypertonic time index, systolic arterial pressure variability (18 [12; 20] vs 12 [9; 16], p < 0,05) were revealed in the first group in comparison with the second one. Conclusions. Patients with severe limitation of vital activity by modified Rankin scale on the 21st day of ischemic stroke demonstrated more pronounced concomitant cardiovascular pathology and higher meanings of systolic arterial pressure both within first 48 hours of ischemic stroke and on the 3rd, 6th and 21st days of the disease.

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