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Published in: Translational Stroke Research 6/2022

21-03-2022 | Ruptured Aneurysm | Original Article

Association Between Regular Blood Pressure Monitoring and the Risk of Intracranial Aneurysm Rupture: a Multicenter Retrospective Study with Propensity Score Matching

Authors: Ping Zhong, Zhiwen Lu, Tianxiao Li, Qing Lan, Jianmin Liu, Zhanxiang Wang, Sifang Chen, Qinghai Huang

Published in: Translational Stroke Research | Issue 6/2022

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Abstract

Although hypertension is a known risk factor for intracranial aneurysm rupture, the benefit of the management of blood pressure in reducing the rupture risk of intracranial aneurysms remains largely unknown, especially for regular blood pressure monitoring. We conducted a retrospective analysis of a prospectively maintained database of 3965 patients with saccular intracranial aneurysms from 20 medical centers in China. The patients were divided into the non-hypertensive group and hypertensive group. Propensity score matching was applied to identify a cohort of patients with similar baseline characteristics. Univariable and multivariable logistic regression analyses were performed to determine the association between intracranial aneurysm rupture and the management of blood pressure. After matching, hypertension was significantly associated with an increased rupture risk of intracranial aneurysms (OR = 2.559, 95%CI = 2.161–3.030, P = 0.000). For the management of blood pressure, controlled hypertension (OR = 1.803, 95%CI = 1.409–2.307, P = 0.000), uncontrolled hypertension (OR = 2.178, 95%CI = 1.756–2.700, P = 0.000), and hypertension without regular blood pressure monitoring (OR = 5.000, 95%CI = 3.823–6.540, P = 0.000) were all significantly associated with a higher rupture risk compared with the absence of hypertension. Moreover, hypertension without regular blood pressure monitoring was associated with a higher rupture risk compared with either controlled hypertension (OR = 3.807, 95%CI = 2.687–5.395, P = 0.000) or hypertension with regular blood pressure monitoring (including controlled and uncontrolled hypertension) (OR = 2.893, 95%CI = 2.319–3.609, P = 0.000). The absence of regular blood pressure monitoring was significantly associated with an increased risk of intracranial aneurysm rupture, emphasizing the importance of implementation of regular blood pressure monitoring in hypertensive patients with intracranial aneurysms.
Literature
1.
go back to reference Etminan N, Chang HS, Hackenberg K, de Rooij NK, Vergouwen MDI, Rinkel GJE, Algra A. Worldwide incidence of aneurysmal subarachnoid hemorrhage according to Region, time period, blood pressure, and smoking prevalence in the population: A systematic review and meta-analysis. JAMA Neurol. 2019;76:588–97.PubMedPubMedCentralCrossRef Etminan N, Chang HS, Hackenberg K, de Rooij NK, Vergouwen MDI, Rinkel GJE, Algra A. Worldwide incidence of aneurysmal subarachnoid hemorrhage according to Region, time period, blood pressure, and smoking prevalence in the population: A systematic review and meta-analysis. JAMA Neurol. 2019;76:588–97.PubMedPubMedCentralCrossRef
2.
go back to reference Mackey J, Khoury JC, Alwell K, Moomaw CJ, Kissela BM, Flaherty ML, Adeoye O, Woo D, Ferioli S, De Los Rios La Rosa F, et al. Stable incidence but declining case-fatality rates of subarachnoid hemorrhage in a population. Neurology. 2016;87:2192–7.PubMedPubMedCentralCrossRef Mackey J, Khoury JC, Alwell K, Moomaw CJ, Kissela BM, Flaherty ML, Adeoye O, Woo D, Ferioli S, De Los Rios La Rosa F, et al. Stable incidence but declining case-fatality rates of subarachnoid hemorrhage in a population. Neurology. 2016;87:2192–7.PubMedPubMedCentralCrossRef
3.
go back to reference Nieuwkamp DJ, Setz LE, Algra A, Linn FH, de Rooij NK, Rinkel GJ. Changes in case fatality of aneurysmal subarachnoid haemorrhage over time, according to age, sex, and region: a meta-analysis. Lancet Neurol. 2009;8:635–42.PubMedCrossRef Nieuwkamp DJ, Setz LE, Algra A, Linn FH, de Rooij NK, Rinkel GJ. Changes in case fatality of aneurysmal subarachnoid haemorrhage over time, according to age, sex, and region: a meta-analysis. Lancet Neurol. 2009;8:635–42.PubMedCrossRef
4.
5.
go back to reference Tominari S, Morita A, Ishibashi T, Yamazaki T, Takao H, Murayama Y, Sonobe M, Yonekura M, Saito N, Shiokawa Y, et al. Prediction model for 3-year rupture risk of unruptured cerebral aneurysms in Japanese patients. Ann Neurol. 2015;77:1050–9.PubMedCrossRef Tominari S, Morita A, Ishibashi T, Yamazaki T, Takao H, Murayama Y, Sonobe M, Yonekura M, Saito N, Shiokawa Y, et al. Prediction model for 3-year rupture risk of unruptured cerebral aneurysms in Japanese patients. Ann Neurol. 2015;77:1050–9.PubMedCrossRef
6.
go back to reference Greving JP, Wermer MJ, Brown RD Jr, Morita A, Juvela S, Yonekura M, Ishibashi T, Torner JC, Nakayama T, Rinkel GJ, et al. Development of the PHASES score for prediction of risk of rupture of intracranial aneurysm: a pooled analysis of six prospective cohort studies. Lancet Neurol. 2014;13:59–66.PubMedCrossRef Greving JP, Wermer MJ, Brown RD Jr, Morita A, Juvela S, Yonekura M, Ishibashi T, Torner JC, Nakayama T, Rinkel GJ, et al. Development of the PHASES score for prediction of risk of rupture of intracranial aneurysm: a pooled analysis of six prospective cohort studies. Lancet Neurol. 2014;13:59–66.PubMedCrossRef
7.
go back to reference Vlak MH, Rinkel GJ, Greebe P, Algra A. Independent risk factors for intracranial aneurysms and their joint effect: a case-control study. Stroke. 2013;44:984–7.PubMedCrossRef Vlak MH, Rinkel GJ, Greebe P, Algra A. Independent risk factors for intracranial aneurysms and their joint effect: a case-control study. Stroke. 2013;44:984–7.PubMedCrossRef
8.
go back to reference McGurgan IJ, Clarke R, Lacey B, Kong XL, Chen Z, Chen Y, Guo Y, Bian Z, Li L, Lewington S, China KadoorieBiobank Consortium. Blood pressure and risk of subarachnoid hemorrhage in China. Stroke. 2019;50:38–44.CrossRef McGurgan IJ, Clarke R, Lacey B, Kong XL, Chen Z, Chen Y, Guo Y, Bian Z, Li L, Lewington S, China KadoorieBiobank Consortium. Blood pressure and risk of subarachnoid hemorrhage in China. Stroke. 2019;50:38–44.CrossRef
9.
go back to reference Gorelick PB, Whelton PK, Sorond F, Carey RM. Blood pressure management in stroke. Hypertension. 2020;76:1688–95.PubMedCrossRef Gorelick PB, Whelton PK, Sorond F, Carey RM. Blood pressure management in stroke. Hypertension. 2020;76:1688–95.PubMedCrossRef
10.
go back to reference Qian Z, Kang H, Tang K, Jiang C, Wu Z, Li Y, Liu A. Assessment of risk of aneurysmal rupture in patients with normotensives, controlled hypertension, and uncontrolled hypertension. J Stroke Cerebrovasc Dis. 2016;25:1746–52.PubMedCrossRef Qian Z, Kang H, Tang K, Jiang C, Wu Z, Li Y, Liu A. Assessment of risk of aneurysmal rupture in patients with normotensives, controlled hypertension, and uncontrolled hypertension. J Stroke Cerebrovasc Dis. 2016;25:1746–52.PubMedCrossRef
11.
go back to reference Ikawa F, Morita A, Tominari S, Nakayama T, Shiokawa Y, Date I, Nozaki K, Miyamoto S, Kayama T, Arai H. Rupture risk of small unruptured cerebral aneurysms. J Neurosurg. 2019;5:1–10. Ikawa F, Morita A, Tominari S, Nakayama T, Shiokawa Y, Date I, Nozaki K, Miyamoto S, Kayama T, Arai H. Rupture risk of small unruptured cerebral aneurysms. J Neurosurg. 2019;5:1–10.
12.
go back to reference Weng JC, Wang J, Li H, Jiao YM, Fu WL, Huo R, Yan ZH, Xu HY, Zhan J, Wang S, et al. Aspirin and growth of small unruptured intracranial aneurysm: results of a prospective cohort study. Stroke. 2020;51:3045–54.PubMedCrossRef Weng JC, Wang J, Li H, Jiao YM, Fu WL, Huo R, Yan ZH, Xu HY, Zhan J, Wang S, et al. Aspirin and growth of small unruptured intracranial aneurysm: results of a prospective cohort study. Stroke. 2020;51:3045–54.PubMedCrossRef
13.
go back to reference O' Donnell M, Hankey GJ, Rangarajan S, Chin SL, Rao-Melacini P, Ferguson J, Xavier D, Lisheng L, Zhang H, Pais P, et al. Variations in knowledge, awareness and treatment of hypertension and stroke risk by country income level. Heart. 2021;107:282-289. O' Donnell M, Hankey GJ, Rangarajan S, Chin SL, Rao-Melacini P, Ferguson J, Xavier D, Lisheng L, Zhang H, Pais P, et al. Variations in knowledge, awareness and treatment of hypertension and stroke risk by country income level. Heart. 2021;107:282-289.
14.
go back to reference Shimbo D, Artinian NT, Basile JN, Krakoff LR, Margolis KL, Rakotz MK, Wozniak G, American Heart Association and the American Medical Association. Self-measured blood pressure monitoring at home: A joint policy statement from the American Heart Association and American Medical Association. Circulation. 2020;142:e42–63.PubMedCrossRef Shimbo D, Artinian NT, Basile JN, Krakoff LR, Margolis KL, Rakotz MK, Wozniak G, American Heart Association and the American Medical Association. Self-measured blood pressure monitoring at home: A joint policy statement from the American Heart Association and American Medical Association. Circulation. 2020;142:e42–63.PubMedCrossRef
15.
go back to reference Tucker KL, Sheppard JP, Stevens R, Bosworth HB, Bove A, Bray EP, Earle K, George J, Godwin M, Green BB, Hebert P, Hobbs FDR, Kantola I, Kerry SM, Leiva A, Magid DJ, Mant J, Margolis KL, McKinstry B, McLaughlin MA, Omboni S, Ogedegbe O, Parati G, Qamar N, Tabaei BP, Varis J, Verberk WJ, Wakefield BJ, McManus RJ. Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis. PLoS Med. 2017;14:e1002389.PubMedPubMedCentralCrossRef Tucker KL, Sheppard JP, Stevens R, Bosworth HB, Bove A, Bray EP, Earle K, George J, Godwin M, Green BB, Hebert P, Hobbs FDR, Kantola I, Kerry SM, Leiva A, Magid DJ, Mant J, Margolis KL, McKinstry B, McLaughlin MA, Omboni S, Ogedegbe O, Parati G, Qamar N, Tabaei BP, Varis J, Verberk WJ, Wakefield BJ, McManus RJ. Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis. PLoS Med. 2017;14:e1002389.PubMedPubMedCentralCrossRef
16.
go back to reference Hasan DM, Hindman BJ, Todd MM. Pressure changes within the sac of human cerebral aneurysms in response to artificially induced transient increases in systemic blood pressure. Hypertension. 2015;66:324–31.PubMedCrossRef Hasan DM, Hindman BJ, Todd MM. Pressure changes within the sac of human cerebral aneurysms in response to artificially induced transient increases in systemic blood pressure. Hypertension. 2015;66:324–31.PubMedCrossRef
17.
go back to reference Chen S, Mao J, Chen X, Li Z, Zhu Z, Li Y, Jiang Z, Zhao W, Wang Z, Zhong P, Huang Q. Association Between Body Mass Index and Intracranial Aneurysm Rupture: A Multicenter Retrospective Study. Front Aging Neurosci. 2021;13:716068.PubMedPubMedCentralCrossRef Chen S, Mao J, Chen X, Li Z, Zhu Z, Li Y, Jiang Z, Zhao W, Wang Z, Zhong P, Huang Q. Association Between Body Mass Index and Intracranial Aneurysm Rupture: A Multicenter Retrospective Study. Front Aging Neurosci. 2021;13:716068.PubMedPubMedCentralCrossRef
18.
go back to reference Can A, Castro VM, Ozdemir YH, Dagen S, Yu S, Dligach D, Finan S, Gainer V, Shadick NA, Murphy S, Cai T, Savova G, Dammers R, Weiss ST, Du R. Association of intracranial aneurysm rupture with smoking duration, intensity, and cessation. Neurology. 2017;89(13):1408–15.PubMedPubMedCentralCrossRef Can A, Castro VM, Ozdemir YH, Dagen S, Yu S, Dligach D, Finan S, Gainer V, Shadick NA, Murphy S, Cai T, Savova G, Dammers R, Weiss ST, Du R. Association of intracranial aneurysm rupture with smoking duration, intensity, and cessation. Neurology. 2017;89(13):1408–15.PubMedPubMedCentralCrossRef
19.
go back to reference Juvela S, Poussa K, Lehto H, Porras M. Natural history of unruptured intracranial aneurysms: a long-term follow-up study. Stroke. 2013;44(9):2414–21.PubMedCrossRef Juvela S, Poussa K, Lehto H, Porras M. Natural history of unruptured intracranial aneurysms: a long-term follow-up study. Stroke. 2013;44(9):2414–21.PubMedCrossRef
20.
go back to reference Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Böhm M, Christiaens T, Cifkova R, De Backer G, Dominiczak A, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J. 2013;34:2159–219.PubMedCrossRef Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Böhm M, Christiaens T, Cifkova R, De Backer G, Dominiczak A, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J. 2013;34:2159–219.PubMedCrossRef
21.
go back to reference Wang JG, Bu PL, Chen LY, Chen X, Chen YY, Cheng WL, et al. 2019 Chinese Hypertension League guidelines on home blood pressure monitoring. J Clin Hypertens. 2020;22:378–83.CrossRef Wang JG, Bu PL, Chen LY, Chen X, Chen YY, Cheng WL, et al. 2019 Chinese Hypertension League guidelines on home blood pressure monitoring. J Clin Hypertens. 2020;22:378–83.CrossRef
22.
go back to reference Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, et al. European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring. J Hypertens. 2008;26:1505–26.PubMedCrossRef Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, et al. European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring. J Hypertens. 2008;26:1505–26.PubMedCrossRef
23.
go back to reference Wang Z, Chen Z, Zhang L, Wang X, Hao G, Zhang Z, Shao L, Tian Y, Dong Y, Zheng C, et al. Status of hypertension in China: results From the China hypertension survey, 2012–2015. Circulation. 2018;137:2344–56.PubMedCrossRef Wang Z, Chen Z, Zhang L, Wang X, Hao G, Zhang Z, Shao L, Tian Y, Dong Y, Zheng C, et al. Status of hypertension in China: results From the China hypertension survey, 2012–2015. Circulation. 2018;137:2344–56.PubMedCrossRef
24.
go back to reference Shoja MM, Agutter PS, Tubbs RS, Payner TD, Ghabili K, Cohen-Gadol AA. The role of the renin–angiotensin system in the pathogenesis of intracranial aneurysms. J Renin Angiotensin Aldosterone Syst. 2011;12:262–73.PubMedCrossRef Shoja MM, Agutter PS, Tubbs RS, Payner TD, Ghabili K, Cohen-Gadol AA. The role of the renin–angiotensin system in the pathogenesis of intracranial aneurysms. J Renin Angiotensin Aldosterone Syst. 2011;12:262–73.PubMedCrossRef
25.
go back to reference Bangalore S, Guo Y, Samadashvili Z, et al. Everolimus-eluting stents or bypass surgery for multivessel coronary disease. N Engl J Med. 2015;372:1213–22.PubMedCrossRef Bangalore S, Guo Y, Samadashvili Z, et al. Everolimus-eluting stents or bypass surgery for multivessel coronary disease. N Engl J Med. 2015;372:1213–22.PubMedCrossRef
26.
go back to reference Tada Y, Wada K, Shimada K, Makino H, Liang EI, Murakami S, Kudo M, Kitazato KT, Nagahiro S, Hashimoto T. Roles of hypertension in the rupture of intracranial aneurysms. Stroke. 2014;45:579–86.PubMedCrossRef Tada Y, Wada K, Shimada K, Makino H, Liang EI, Murakami S, Kudo M, Kitazato KT, Nagahiro S, Hashimoto T. Roles of hypertension in the rupture of intracranial aneurysms. Stroke. 2014;45:579–86.PubMedCrossRef
27.
go back to reference Soldozy S, Norat P, Elsarrag M, Chatrath A, Costello JS, Sokolowski JD, Tvrdik P, Kalani MYS, Park MS. The biophysical role of hemodynamics in the pathogenesis of cerebral aneurysm formation and rupture. Neurosurg Focus. 2019;47:E11.PubMedCrossRef Soldozy S, Norat P, Elsarrag M, Chatrath A, Costello JS, Sokolowski JD, Tvrdik P, Kalani MYS, Park MS. The biophysical role of hemodynamics in the pathogenesis of cerebral aneurysm formation and rupture. Neurosurg Focus. 2019;47:E11.PubMedCrossRef
28.
29.
go back to reference Sarrami-Foroushani A, Villa-Uriol MC, Nasr Esfahany M, Coley SC, Di Marco LY, Frangi AF, Marzo A. Modeling of the acute effects of primary hypertension and hypotension on the hemodynamics of intracranial aneurysms. Ann Biomed Eng. 2015;43:207–21.PubMedCrossRef Sarrami-Foroushani A, Villa-Uriol MC, Nasr Esfahany M, Coley SC, Di Marco LY, Frangi AF, Marzo A. Modeling of the acute effects of primary hypertension and hypotension on the hemodynamics of intracranial aneurysms. Ann Biomed Eng. 2015;43:207–21.PubMedCrossRef
30.
go back to reference Cebral J, Ollikainen E, Chung BJ, Mut F, Sippola V, Jahromi BR, Tulamo R, Hernesniemi J, Niemelä M, Robertson A, Frösen J. Flow conditions in the intracranial aneurysm lumen are associated with inflammation and degenerative changes of the aneurysm wall. AJNR Am J Neuroradiol. 2017;38:119–26.PubMedPubMedCentralCrossRef Cebral J, Ollikainen E, Chung BJ, Mut F, Sippola V, Jahromi BR, Tulamo R, Hernesniemi J, Niemelä M, Robertson A, Frösen J. Flow conditions in the intracranial aneurysm lumen are associated with inflammation and degenerative changes of the aneurysm wall. AJNR Am J Neuroradiol. 2017;38:119–26.PubMedPubMedCentralCrossRef
31.
go back to reference Lin JY, Kuo KL, Kuo YH, Wu KP, Chu KC, Jiang YC, Chuang YF, Cheng HM. Association between real-world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: A community-based blood pressure variability study. J Clin Hypertens (Greenwich). 2021;23(3):628–37.CrossRef Lin JY, Kuo KL, Kuo YH, Wu KP, Chu KC, Jiang YC, Chuang YF, Cheng HM. Association between real-world home blood pressure measurement patterns and blood pressure variability among older individuals with hypertension: A community-based blood pressure variability study. J Clin Hypertens (Greenwich). 2021;23(3):628–37.CrossRef
32.
go back to reference Igase M, Igase K, Kohara K, Yamashita S, Fujisawa M, Katagi R, Miki T. Visit-to-visit variability in systolic blood pressure is a novel risk factor for the growth of intracranial aneurysms. Cerebrovasc Dis. 2013;36:401–6.PubMedCrossRef Igase M, Igase K, Kohara K, Yamashita S, Fujisawa M, Katagi R, Miki T. Visit-to-visit variability in systolic blood pressure is a novel risk factor for the growth of intracranial aneurysms. Cerebrovasc Dis. 2013;36:401–6.PubMedCrossRef
33.
go back to reference Li W, Wang S, Tian Z, Zhu W, Zhang Y, Zhang Y, Wang Y, Wang K, Yang X, Liu J. Discrimination of intracranial aneurysm rupture status: patient-specific inflow boundary may not be a must-have condition in hemodynamic simulations. Neuroradiology. 2020;62:1485–95.PubMedCrossRef Li W, Wang S, Tian Z, Zhu W, Zhang Y, Zhang Y, Wang Y, Wang K, Yang X, Liu J. Discrimination of intracranial aneurysm rupture status: patient-specific inflow boundary may not be a must-have condition in hemodynamic simulations. Neuroradiology. 2020;62:1485–95.PubMedCrossRef
34.
go back to reference Humphrey JD, Taylor CA. Intracranial and abdominal aortic aneurysms: similarities, differences, and need for a new class of computational models. Annu Rev Biomed Eng. 2008;10:221–46.PubMedPubMedCentralCrossRef Humphrey JD, Taylor CA. Intracranial and abdominal aortic aneurysms: similarities, differences, and need for a new class of computational models. Annu Rev Biomed Eng. 2008;10:221–46.PubMedPubMedCentralCrossRef
35.
go back to reference Chung BJ, Doddasomayajula R, Mut F, Detmer F, Pritz MB, Hamzei-Sichani F, Brinjikji W, Kallmes DF, Jimenez CM, Putman CM, Cebral JR. Angioarchitectures and hemodynamic characteristics of posterior communicating artery aneurysms and their association with rupture status. AJNR Am J Neuroradiol. 2017;38:2111–8.PubMedPubMedCentralCrossRef Chung BJ, Doddasomayajula R, Mut F, Detmer F, Pritz MB, Hamzei-Sichani F, Brinjikji W, Kallmes DF, Jimenez CM, Putman CM, Cebral JR. Angioarchitectures and hemodynamic characteristics of posterior communicating artery aneurysms and their association with rupture status. AJNR Am J Neuroradiol. 2017;38:2111–8.PubMedPubMedCentralCrossRef
36.
go back to reference Lv N, Karmonik C, Chen S, Wang X, Fang Y, Huang Q, Liu J. Wall enhancement, hemodynamics, and morphology in unruptured intracranial aneurysms with high rupture risk. Transl Stroke Res. 2020;11:882–9.PubMedPubMedCentralCrossRef Lv N, Karmonik C, Chen S, Wang X, Fang Y, Huang Q, Liu J. Wall enhancement, hemodynamics, and morphology in unruptured intracranial aneurysms with high rupture risk. Transl Stroke Res. 2020;11:882–9.PubMedPubMedCentralCrossRef
37.
go back to reference Margolis KL, Asche SE, Bergdall AR, Dehmer SP, Groen SE, Kadrmas HM, Kerby TJ, Klotzle KJ, Maciosek MV, Michels RD, et al. Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: a cluster randomized clinical trial. JAMA. 2013;310:46–56.PubMedPubMedCentralCrossRef Margolis KL, Asche SE, Bergdall AR, Dehmer SP, Groen SE, Kadrmas HM, Kerby TJ, Klotzle KJ, Maciosek MV, Michels RD, et al. Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: a cluster randomized clinical trial. JAMA. 2013;310:46–56.PubMedPubMedCentralCrossRef
38.
go back to reference Swaminathan R, Cohen E, Philley M, Hokanson J, Young K. Impact of self-measured blood pressure monitoring on hypertension management. Blood Press Monit. 2020;25(5):259–62.PubMedCrossRef Swaminathan R, Cohen E, Philley M, Hokanson J, Young K. Impact of self-measured blood pressure monitoring on hypertension management. Blood Press Monit. 2020;25(5):259–62.PubMedCrossRef
39.
go back to reference Jo SH, Kim SA, Park KH, Kim HS, Han SJ, Park WJ. Self-blood pressure monitoring is associated with improved awareness, adherence, and attainment of target blood pressure goals: Prospective observational study of 7751 patients. J Clin Hypertens (Greenwich). 2019;21:1298–304.CrossRef Jo SH, Kim SA, Park KH, Kim HS, Han SJ, Park WJ. Self-blood pressure monitoring is associated with improved awareness, adherence, and attainment of target blood pressure goals: Prospective observational study of 7751 patients. J Clin Hypertens (Greenwich). 2019;21:1298–304.CrossRef
Metadata
Title
Association Between Regular Blood Pressure Monitoring and the Risk of Intracranial Aneurysm Rupture: a Multicenter Retrospective Study with Propensity Score Matching
Authors
Ping Zhong
Zhiwen Lu
Tianxiao Li
Qing Lan
Jianmin Liu
Zhanxiang Wang
Sifang Chen
Qinghai Huang
Publication date
21-03-2022
Publisher
Springer US
Published in
Translational Stroke Research / Issue 6/2022
Print ISSN: 1868-4483
Electronic ISSN: 1868-601X
DOI
https://doi.org/10.1007/s12975-022-01006-7

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