A Study of Systolic, Diastolic Blood Pressure and Non-Invasive Mean Arterial Pressure with Regard to Adverse Events in Acute Hemorrhagic Stroke in A Rural Tertiary Care Hospital

ABSTRACT

Introduction: Stroke is an important and leading cause ofmorbidity and mortality worldwide. As hemorrhagic strokehas high degree of morbidity and mortality, and treatmentbeing more with supportive therapy and interventional therapybeing beyond the reach of an average Indian, it becomesimperative to identify the risk factors and prevent the event asa primary approach and it becomes important to identify theimportant prognosticating factors in assessing the morbidityand mortality in acute hemorrhagic strokes. Study aimed toidentify an added risk factor at the time of presentation in theform of blood pressure measurement by assessing the systolicblood pressure, the diastolic blood pressure and non-invasivemean arterial blood pressure at the time of presentation tothe hospital and also correlated it with the ICH score andestimated whether the blood pressure parameters could beused independently or in addition to the existing ICH scoringsystem to prognosticate the outcome of the hemorrhagicstroke event during in-hospital stay.Material and methods: 50 patients who presented to thepresent medical college with acute hemorrhagic stroke wereassessed with their systolic blood pressure, diastolic bloodpressure and non-invasive mean arterial pressure. Clinicaland imaging factors as per ICH scoring system, namelyage, hematoma volume, intra-ventricular hemorrhage, infratentorial origin of hemorrhage and Glasgow - coma scale wealso studied.Results: The systolic, diastolic blood pressure and meanarterial pressure elevation was consistently in correlation withhigh ICH score which indicated the high degree of mortality inour study. 7 patients (14%) who were below the age of 79 and11 patients (22%) above the age of 80 died. In our study, weobserved that High systolic and diastolic blood pressure wereassociated with increased ICH score and mortality.Conclusion: Hence we conclude that along with ICH scoring,the assessment of systolic, diastolic blood pressure and meanarterial pressure on admission to the hospital can be usedas an added criterion to assess the short-term mortality inintracerebral hemorrhage.