Akshay Bhutada* and Marami Das
BACKGROUND
Admission Blood Pressure (BP) is often elevated in acute ischemic stroke and may influence stroke severity and outcomes, especially in patients receiving thrombolysis. This relationship remains understudied in Northeast Indian populations.
OBJECTIVE
To assess the association between admission BP, stroke severity (NIHSS) and early outcome (modified Rankin Scale and in-hospital mortality) among thrombolysed ischemic stroke patients. METHODS This was a retrospective observational study conducted at a tertiary care centre in Northeast India. Data were collected from 29 ischemic stroke patients who underwent intravenous thrombolysis. Admission BP, NIHSS scores, mRS at discharge and in-hospital mortality were analyzed. Descriptive statistics and subgroup comparisons were used.
RESULTS
Higher admission BP values were associated with more severe strokes and poorer outcomes. Among the 8 patients who died, most had a systolic BP>160 mmHg and NIHSS>16. Lower BP and NIHSS were associated with favorable outcomes (mRS ≤ 2).
CONCLUSION
Admission BP serves as a potential early predictor of stroke severity and outcome. This real-world data from Northeast India reinforces the need for precise hemodynamic management in acute stroke.
