Dose-response relationship between blood pressure and intracranial atherosclerotic stenosis

Hong-Qi Li1, Xun Wang1, Hui-Fu Wang2

  • 1Department of Neurology and Institute of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.

Atherosclerosis
|December 17, 2020
PubMed

Insights

Elevated blood pressure significantly increases the risk of intracranial atherosclerotic stenosis (ICAS). Higher systolic and pulse pressures are linked to a greater ICAS burden in the Chinese population.

Area of Science:

  • Neurology
  • Cardiovascular Science
  • Public Health

Background:

  • Intracranial atherosclerotic stenosis (ICAS) is a significant cause of stroke.
  • Understanding the relationship between blood pressure and ICAS is crucial for prevention strategies.

Purpose of the Study:

  • To investigate the association between blood pressure levels and the risk and burden of ICAS.
  • To analyze these associations within the Chinese population.

Main Methods:

  • A large-scale, multi-center, case-control study was conducted.
  • 1055 ICAS patients and 1296 controls were analyzed.
  • Intracranial arteries were evaluated using advanced imaging techniques (MRA, CTA, DSA).

Main Results:

  • Increased systolic, diastolic, and pulse pressure were significantly associated with higher odds of ICAS.
  • Each 10 mmHg increase in systolic, diastolic, and pulse pressure correlated with a 32%, 28%, and 35% increased odds of ICAS, respectively.
  • Higher systolic and pulse pressures were also linked to an increased ICAS burden.

Conclusions:

  • Blood pressure components (systolic, diastolic, pulse pressure) show a dose-response relationship with ICAS risk.
  • Elevated systolic and pulse pressures contribute to a greater ICAS burden, highlighting the importance of blood pressure management.
Abstract

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