Abstract

Objectives: 1. Determine the variation of blood pressure in patients with the cerebral hemorrhage stroke during acute phase.
2. Determine the dipper and nondipper of nighttime blood pressure and blood pressure overload in patients with cerebral hemorrhage stroke.
Subjects and methods: 48 patients with cerebral hemorrhage stroke during the acute phase with hypertension, in cardiovasculary internal department at Hue central hospital, without indication of emergency antihypertesive, was hospitalized ≤ 1 day after onset. All patients were monitored 24-hour ambulatory blood pressure (ABPM) 2 times, first on 2nd day, 2nd times on 7th day after admission; measuring interval 30m/ times during the daytime from 6 morning to 22h night (6 pm-10pm) and 60 min/times at night (10 pm- 6 am).

Resuls: lood pressure in patients with cerebral hemorrhage stroke fluctuated significantly expressed in standard deviation between the peak > 15mmHg for SBP and> 12 mmHg for DBP. Nondipper rate of blood and blood pressure overload in patients with cerebral hemorrhage stroke is very high (> 90%).10.4% of patients had returned to normal blood pressure naturally without medication.
Conclusion: Shoud apply the technic of 24 hour BP monitoring to assessement, prognosis and to have treatment planning of patients with acute phase cerebral hemorrhage.