Dynamics of Neurological Status Depending on the Type of Circadian Rhythm of Blood Pressure in Patients with Primary and Secondary Stroke
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Abstract
Daily monitoring of blood pressure (BP) shows chronic violation of circadian rhythm of blood pressure after the acute phase of stroke and shows a high sensitivity in assessing the prognosis of stroke. High rate variability is an independent predictor of cerebrovascular events and subsequent development of dementia. The study of the dynamics of neurological status depending on the type of circadian rhythm of blood pressure in patients with primary and secondary stroke is relevant, that was the purpose of our study. The study found that the analysis of the dynamics of the development of ischemic stroke is important, as obtained significant difference in patients with primary and secondary ischemic stroke (II). It is noted that the severity of neurological symptoms was significantly higher for patients with circadian rhythm JSC «non-dipper» compared with circadian rhythm JSC «dipper» (p <0.05), and nocturnal hypertension in acute II in patients with repeated II contributes to worsening of neurological symptoms after the 10th day of stroke that should be considered when choosing a treatment strategy.
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