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At least 73 records · Page 4Linked to original sources

Predictive power of screening blood pressure, ambulatory blood pressure and blood pressure measured at home for overall and cardiovascular mortality: a prospective observation in a cohort from Ohasama, northern Japan.

OBJECTIVE: To investigate the risks of high and low blood pressure levels determined by ambulatory blood pressure monitoring and home blood pressure measurements. METHODS: A long-term prospective study of all-cause mortality and cardiovascular mortality has been conducted in Ohasama, Japan since 1987. RESULTS: The Cox proportional hazards model after adjusting for age and sex demonstrated that, during a 5-year follow-up period involving 893 of the subjects aged 50 years or more in this cohort, those with the lowest quintile of ambulatory blood pressure levels exhibited a significantly higher hazard ratio for cardiovascular and for all-cause mortality. During the same follow-up period, of 1226 subjects aged 50 years and more, those with the lowest and highest quintiles of home blood pressure levels demonstrated a significantly higher hazard ratio with respect to cardiovascular and all-cause mortality (i.e., a J-shaped relationship). CONCLUSION: These results suggest that there is a significant risk associated with low blood pressure levels, which can be determined by ambulatory and home blood pressure measurements, but not by casual blood pressure measurements.

Journal Article↗

Measurement of blood pressure, blood flow and flow velocity in arterial reconstruction of the lower extremity.

Seventy-five limbs of 66 patients undergoing arterial reconstruction of the lower extremity were studied. In 41 of 64 limbs that were not involved in early failure, API returned to normal immediately and the increased API was maintained as long as grafts remained patent. The limbs exhibiting a rise in API of 0.1 or more following proximal reconstruction in the cases with combined iliac and femoral arterial occlusion or bypass grafting to an isolated segment obtained marked improvement of symptoms. Postoperative increase in TPI was not so marked as in API, and TPI remained very low in the limbs with arterial obstructive lesions below the ankle after successful reconstruction. Early or late failure could not be predicted on the basis of preoperative or postoperative API, TPI or A-T gradient. In the limbs with no recovery of TPI, blood flow or flow velocity in the foot was of value predicting which limbs would be salvaged.

Adult↗

Experimental subarachnoid hemorrhage from a middle cerebral artery. Neurologic deficits, intracranial pressures, blood pressures, and pulse rates.

Devices to produce experimental subarachnoid hemorrhage (SAH) can be implanted in animals. After SAH is produced by the puncture of a middle cerebral artery (MCA) in awake cats, neurologic deficits develop that are not as severe as those caused by MCA occlusion. Biphasic increases of epidural pressure occur and are related to the extent and distribution of the hemorrhage. Ischemic changes are more severe if the flow of blood through the MCA is interrupted.

Animals↗

Relationships among intracranial pressure, blood pressure, and superficial cerebral vasculature after experimental occlusion of one middle cerebral artery.

A cranial window conforming to the contours of the underlying cerebral cortical surface was implanted successfully in 18 cats. Subsequently the left middle cerebral artery (MCA) was occluded inside the sealed cranium and changes in the superficial cortical vasculature were related to measurements of intracranial pressure (ICP), measured extradurally, and to the resulting infarcts. Vascular changes early after MCA occlusion were not predictive of the outcome of the occlusion, except for aggregation of formed elements of the blood in arterioles, which was a bad prognostic sign. Secondary reactive hyperemia was not beneficial; increases of ICP suggested that hyperemia led to increased cerebral edema as well as to swelling.

Animals↗

Acute dimethyl sulfoxide therapy in experimental brain edema: part 2. Effect of dose and concentration on intracranial pressure, blood pressure, and central venous pressure.

Albino rabbits with experimental brain edema produced by a combined cryogenic and metabolic 6-aminonicotinamide lesion were administered intravenous dimethyl sulfoxide in varying concentrations and doses in the following manner: Subgroup A (concentration response) received a 1.0-g/kg bolus as a 10%, 20%, 30%, or 40% solution. Subgroup B (dose response) received as a 20% solution a 1.0-g/kg bolus, 1.5-g/kg bolus, or 2.0-g/kg infusion. Simultaneous recording of intracranial pressure (ICP), systolic arterial pressure (SAP), and central venous pressure and electroencephalography were performed while the animals were being mechanically ventilated at a constant PaCO2 (38 to 42 torr). There was significant lowering of ICP when compared to pretreatment values in Subgroup A in the 10% subset at 30 minutes (p less than 0.05) and in the 20% subset at 5 (p less than 0.05) and 30 (p less than 0.05) minutes. ICP was not significantly decreased in the 30% and 40% subsets. All animals of Subgroup B displayed significant reductions of ICP when compared to their pretreatment values. There was no significant change in SAP in either subgroup.

6-Aminonicotinamide↗

Acute dimethyl sulfoxide therapy in experimental brain edema: Part I. Effects on intracranial pressure, blood pressure, central venous pressure, and brain water and electrolyte content.

Albino rabbits with experimental brain edema produced by a cryogenic lesion or by a cryogenic lesion combined with a metabolic blocker, 6-aminonicotinamide, were given 1 g of a 10% solution of dimethyl sulfoxide (DMSO) per kg by intravenous bolus. Simultaneous recording of intracranial pressure (ICP), systemic arterial pressure (SAP), and central venous pressure and electroencephalography were performed while the animals were mechanically ventilated at a constant PaCO2 (PaCO2, 38 to 42 torr). One hour after the administration of DMSO, the rabbits were killed by air embolus, and the brain was removed promptly for the determination of wet and dry weights and electrolyte content. The ICP at 15, 30, and 60 minutes after DMSO was lower in both groups; ICP was significantly lower at 30 minutes (p less than 0.5) in the cold lesion group and at 15 minutes in the combined group (p less than 0.05). These was no significant change in SAP after DMSO in either group. There was s significant reduction of brain water content after DMSO in the combined lesion group (p less than 0.005 for the left hemisphere and p less than 0.025 for the right); there was no significant reduction of water content in the group with a cold lesion only.

Animals↗