Silent brain infarction and hypertension
We studied the relationship between silent brain infarction (SBI) and hypertension in stroke-free subjects who visited to brain check-up. The subjects with SBI showed significantly higher incidence of hypertension history, and higher blood pressure at brain check-up and at home than those without SB...
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Published in | Japanese Journal of Stroke Vol. 20; no. 6; pp. 545 - 549 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
The Japan Stroke Society
1998
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Subjects | |
Online Access | Get full text |
ISSN | 0912-0726 1883-1923 |
DOI | 10.3995/jstroke.20.545 |
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Abstract | We studied the relationship between silent brain infarction (SBI) and hypertension in stroke-free subjects who visited to brain check-up. The subjects with SBI showed significantly higher incidence of hypertension history, and higher blood pressure at brain check-up and at home than those without SBI. Duration of hypertension, daily blood pressure (BP), BP at brain check-up and condition of taking antihypertensive drugs did not relate to SBI in hypertensive subjects. In prospective study, higher incidence of stroke onset was observed in the subjects who showed higher BP at brain check-up and in hypertensives with SBI than those without. Hypertensives with family history of stroke showed significantly greater incidence of stroke onset than those without. These results indicate that not only hypertension but some genetic factors may contribute to stroke onset from SBI. |
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AbstractList | We studied the relationship between silent brain infarction (SBI) and hypertension in stroke-free subjects who visited to brain check-up. The subjects with SBI showed significantly higher incidence of hypertension history, and higher blood pressure at brain check-up and at home than those without SBI. Duration of hypertension, daily blood pressure (BP), BP at brain check-up and condition of taking antihypertensive drugs did not relate to SBI in hypertensive subjects. In prospective study, higher incidence of stroke onset was observed in the subjects who showed higher BP at brain check-up and in hypertensives with SBI than those without. Hypertensives with family history of stroke showed significantly greater incidence of stroke onset than those without. These results indicate that not only hypertension but some genetic factors may contribute to stroke onset from SBI. |
Author | Suyama, Nobuo Kobayashi, Shotai Nagai, Atsushi Tsuchiya, Haruhisa Yamaguchi, Suhei Okada, Kazunori |
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References | 1) Kobayashi S, Okada K, Yamashita K : Inci-dence of silent lacunar lesion in normal adulys and its relationship to cerebral blood flow and risk factors. Stroke 22:1379-1383, 1991 9) Du X, Cruickshank K, McNamee R, et al: Case-control study of stroke and the quality of hypertension control in north west England. BMJ 314:272-276, 1997 7) Yamamoto Y, Akiguchi I, Oiwa K, et al: Adverse effect of night time blood pressure on the outcome of lacunar stroke. Stroke 29:570-576, 1998 8) Kario K, Matuo T, Kobayashi H, et al: Rela-tion between nocturnal fall of blood pressure and silent cerebrovascular damage in elderly hypertensive. Advanced silent cerebrovascular damage in extreme-dippers. Hypertension 27:130-135, 1996 6) Sagie A, Larson MG, Levy D: The natural history of borderline islated systolic hyperten-sion. N Eng J Med 329:1912-1917, 1993 2) Kobayashi S, Okada K, Koide H, et al: Subcortical silent brain infarction as a risk factor for clinical stroke. Stroke 28:1932-1939, 1997 5) Ueda K, Omae T, Hasuo Y, et al: Prognosis and outcome of elderly hypertensive in a Japanese community : results from a long-term prospective study. J Hypertension 6:991-997, 1988 3) Shimada K, Kawamoto A, Matsubayashi K, et al: Silent cerebrovascular disease in the elderly: Correlation with ambulatory pressure. Hypertension 16:692-699, 1990 4) 小林祥泰:無症候性脳梗塞―教育講演―.内科学会雑誌 86:286-291, 1997 10) Maeda Y, Ikeda U, Ebata H, et al: Angiotensin-converting enzyme gene polymorphism in hypertensive individuals with parental history of stroke. Stroke 27:1521-1523, 1996 |
References_xml | – reference: 1) Kobayashi S, Okada K, Yamashita K : Inci-dence of silent lacunar lesion in normal adulys and its relationship to cerebral blood flow and risk factors. Stroke 22:1379-1383, 1991 – reference: 9) Du X, Cruickshank K, McNamee R, et al: Case-control study of stroke and the quality of hypertension control in north west England. BMJ 314:272-276, 1997 – reference: 2) Kobayashi S, Okada K, Koide H, et al: Subcortical silent brain infarction as a risk factor for clinical stroke. Stroke 28:1932-1939, 1997 – reference: 6) Sagie A, Larson MG, Levy D: The natural history of borderline islated systolic hyperten-sion. N Eng J Med 329:1912-1917, 1993 – reference: 10) Maeda Y, Ikeda U, Ebata H, et al: Angiotensin-converting enzyme gene polymorphism in hypertensive individuals with parental history of stroke. Stroke 27:1521-1523, 1996 – reference: 7) Yamamoto Y, Akiguchi I, Oiwa K, et al: Adverse effect of night time blood pressure on the outcome of lacunar stroke. Stroke 29:570-576, 1998 – reference: 4) 小林祥泰:無症候性脳梗塞―教育講演―.内科学会雑誌 86:286-291, 1997 – reference: 5) Ueda K, Omae T, Hasuo Y, et al: Prognosis and outcome of elderly hypertensive in a Japanese community : results from a long-term prospective study. J Hypertension 6:991-997, 1988 – reference: 3) Shimada K, Kawamoto A, Matsubayashi K, et al: Silent cerebrovascular disease in the elderly: Correlation with ambulatory pressure. Hypertension 16:692-699, 1990 – reference: 8) Kario K, Matuo T, Kobayashi H, et al: Rela-tion between nocturnal fall of blood pressure and silent cerebrovascular damage in elderly hypertensive. Advanced silent cerebrovascular damage in extreme-dippers. Hypertension 27:130-135, 1996 |
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Title | Silent brain infarction and hypertension |
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