Author/Editor     Trošt, Maja
Title     Blood pressure after stroke: an influence of patient mobilisation
Translated title     Krvni tlak po možganski kapi: vpliv mobilizacije bolnika
Type     monografija
Place     Ljubljana
Publisher     Faculty of medicine
Publication year     1999
Volume     str. 60
Language     eng
Abstract     Background and purpose: The central nervous system plays an important role in the regulation of cardiovascular functions. Acute stroke causes autonomic dysregulation and consequently blood pressure abnormalities. In this study blood pressure changes during an early mobilisation of acute stroke patients were studied. Subjects and methods: Sixty-eight acute ischemic stroke patients and 30 age-matched controls were studied using a modified Schellong test. Body positions were changed every few minutes and blood pressure was measured automatically every minute. Its changes were studied. Attention was paid to blood pressure "swings", i.e. changes of blood pressure that occurred from one measurement to the next. The intent was to investigate the association between blood pressure stability and different factors, one of which was mobilisation time. Results: Stroke patients had less stable blood pressure compared to control subjects. Different factors had an influence on blood pressure stability. Patients with a shorter mobilisation time had a better outcome. Conclusion: Blood pressure was unstable after acute ischemic stroke. The time of mobilisation had no influence on blood pressure stability. Patients with a shorter mobilisation time had a better outcome.
Descriptors     CEREBROVASCULAR DISORDERS
BLOOD PRESSURE DETERMINATION
BLOOD PRESSURE MONITORING, AMBULATORY
IMMOBILIZATION
CEREBRAL INFARCTION
BED REST
EXERCISE