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10.1038/s41598-017-10892-z

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suck abstract from ncbi


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pmid28878305
      Sci+Rep 2017 ; 7 (1 ): 10694
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  • Effects of Intensive Blood Pressure Reduction on Acute Intracerebral Hemorrhage: A Systematic Review and Meta-analysis #MMPMID28878305
  • Gong S ; Lin C ; Zhang D ; Kong X ; Chen J ; Wang C ; Li Z ; Chen R ; Sheng P ; Dong Y ; Hou L
  • Sci Rep 2017[Sep]; 7 (1 ): 10694 PMID28878305 show ga
  • Current opinions about the effect of intensive blood pressure (BP) reduction for acute intracerebral hemorrhage (ICH) are inconsistent. We performed a meta-analysis to evaluate the efficacy and safety of intensive BP reduction for acute ICH by analyzing data from several recent randomized controlled trials (RCTs). There were six eligible studies that met the inclusion criteria, for a total of 4,385 acute ICH patients in this meta-analysis. After analyzing these data, we found differences between intensive and standard BP lowering treatment groups in total mortality rates, unfavorable outcomes, hematoma expansion, neurologic deterioration, and severe hypotension were not significant. Moreover, compared with the standard treatment, the rate of renal adverse event in intensive treatment group was significantly higher. The intensive treatment approach was recommended in the following situations: (1) longer prehospital duration; (2) lower National Institute of Health stroke scale (NIHSS) score; (3) no hypertension history.
  • |Age Factors [MESH]
  • |Antihypertensive Agents/pharmacology/*therapeutic use [MESH]
  • |Blood Pressure/*drug effects [MESH]
  • |Cerebral Hemorrhage/*drug therapy/etiology/mortality/*physiopathology [MESH]
  • |Disease Progression [MESH]
  • |Humans [MESH]
  • |Hypertension/complications [MESH]
  • |Odds Ratio [MESH]
  • |Randomized Controlled Trials as Topic [MESH]


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