BPV associated with imaging features of SSI on MRI

Yu, Yong; Zheng, Yali; Tan, Lan; Jiang, Ting

doi:10.1002/brb3.2155

Brain and Behavior

2021

DOI: 10.1002/brb3.2155

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BPV associated with imaging features of SSI on MRI

Yong Yu

Yali Zheng

Lan Tan

et al.

Abstract: Hypertension is the most vital risk factor for a variety of vascular events (Lawes et al., 2008), but independent of mean blood pressure, blood pressure variability (BPV) has been associated with clinical cardiovascular and cerebrovascular diseases. Blood pressure variability (BPV) can be classified into very short-term, short-term, mid-term, and long-term BPV. Long-term BPV can lead to subclinical organ damage, poor renal function, all-cause mortality, and also cardiovascular events (Soh et al., 2019). Previo… Show more

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2024

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Analysis of the Relationship between Recent Small Subcortical Infarcts and Autonomic Nervous Dysfunction

Yuan,

An,

Wang

et al. 2024

CNR

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objective: Autonomic nervous system (ANS) dysfunction may be involved in the pathogenesis of cerebral small vessel disease (CSVD). The study aimed to explore the relationship between recent small subcortical infarct (RSSI) and blood pressure variability (BPV), heart rate variability (HRV). method: Total 588 patients from the CSVD registration research database of Henan Province were included in this study, and were divided into two groups according to the presence of RSSI. Clinical data, including demographic characteristics, disease history, laboratory indexes, 24-hour ambulatory blood pressure and electrocardiogram indicators, imaging markers of CSVD, were collected. Univariate and binary logistic regression analysis were used to study the relationship between RSSI and indicators of laboratory, HRV and BPV in CSVD population. result: Multivariate analysis showed that higher 24-hour mean diastolic blood pressure (DBP)[odds ratios (OR)=1.083,95% confidence intervals (CI)=(1.038,1.129), P<0.001], standard deviation (SD) of 24-hour DBP[OR=1.059,95%CI=(1.000,1.121), P=0.049], nocturnal mean systolic blood pressure (SBP)[OR=1.020,95%CI=(1.004,1.035), P=0.012], nocturnal mean DBP[OR=1.025,95%CI=(1.009,1.040), P=0.002] were independent risk factors for RSSI. While, the decrease of the standard deviation of N–N intervals (SDNN)[OR=0.994,95%CI=(0.989,1.000), P=0.035] were beneficial to the occurrence of RSSI. In addition, neutrophil counts[OR=1.138, 95%CI=(1.030,1.258), P=0.011], total cholesterol (TC)[OR=1.203,95%CI=(1.008,1.437), P=0.041] and high-density lipoprotein (HDL)[OR=0.391,95%CI=(0.195,0.786), P=0.008] were also independently associated with the occurrence of RSSI. After adjusting for confounding factors, except for TC, the other factors remained associated with the occurrence of RSSI. conclusion: Increased 24-hour mean DBP, nocturnal mean SBP and DBP, SD of 24-hour DBP and decreased SDNN were independently correlated with RSSI occurrence, suggesting that sympathetic overactivity plays a role in the pathogenesis of RSSI.

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Analysis of the Relationship between Recent Small Subcortical Infarcts and Autonomic Nervous Dysfunction

Yuan,

An,

Wang

et al. 2024

CNR

View full text Add to dashboard Cite

show abstract

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BPV associated with imaging features of SSI on MRI

Cited by 1 publication

References 22 publications

Analysis of the Relationship between Recent Small Subcortical Infarcts and Autonomic Nervous Dysfunction

Analysis of the Relationship between Recent Small Subcortical Infarcts and Autonomic Nervous Dysfunction

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