Evidence map›Paper›PMID 29229726›Full record

Trial reportStroke2018

Prognostic Significance of Blood Pressure Variability on Beat-to-Beat Monitoring After Transient Ischemic Attack and Stroke.

Alastair J S Webb, Sara Mazzucco, Linxin Li, Peter M Rothwell

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Stroke, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
5.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 100 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Individuals with posttraumatic stress disorder have increased beat-to-beat blood pressure variability.American journal of physiology. Regulatory, integrative and comparative physiology · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Resting beat-to-beat blood pressure variability is preserved in young adults with major depressive disorder.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
    Article
  15. Article
  16. Blood pressure variability: a review.Journal of hypertension · 2025
    Review
  17. Article
  18. Article
  19. Observational
  20. Resting beat-to-beat blood pressure variability in humans: role of alpha-1 adrenergic receptors.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Alastair J S WebbFrom the Department of Clinical Neurosciences, Centre for Prevention of Stroke and Dementia, University of Oxford, United Kingdom. alastair.webb@ndcn.ox.ac.uk.
Sara MazzuccoFrom the Department of Clinical Neurosciences, Centre for Prevention of Stroke and Dementia, University of Oxford, United Kingdom.
Linxin LiFrom the Department of Clinical Neurosciences, Centre for Prevention of Stroke and Dementia, University of Oxford, United Kingdom.
Peter M RothwellFrom the Department of Clinical Neurosciences, Centre for Prevention of Stroke and Dementia, University of Oxford, United Kingdom.
Dementia UK · GBStroke Association · GB

Funding

British Heart Foundation PG/16/38/32080Medical Research Council G1000372Wellcome Trust 206589
6 · The paper itself

Abstract

background and purposeVisit-to-visit and day-to-day blood pressure (BP) variability (BPV) predict an increased risk of cardiovascular events but only reflect 1 form of BPV. Beat-to-beat BPV can be rapidly assessed and might also be predictive.

methodsIn consecutive patients within 6 weeks of transient ischemic attack or nondisabling stroke (Oxford Vascular Study), BPV (coefficient of variation) was measured beat-to-beat for 5 minutes (Finometer), day-to-day for 1 week on home monitoring (3 readings, 3× daily), and on awake ambulatory BP monitoring. BPV after 1-month standard treatment was related (Cox proportional hazards) to recurrent stroke and cardiovascular events for 2 to 5 years, adjusted for mean systolic BP.

resultsAmong 520 patients, 26 had inadequate beat-to-beat recordings, and 22 patients were in atrial fibrillation. Four hundred five patients had all forms of monitoring. Beat-to-beat BPV predicted recurrent stroke and cardiovascular events independently of mean systolic BP (hazard ratio per group SD, stroke: 1.47 [1.12-1.91];

conclusionsBeat-to-beat BPV predicted recurrent stroke and cardiovascular events, independently of mean systolic BP and risk factors but short-term BPV on ambulatory BP monitoring did not. Beat-to-beat BPV may be a useful additional marker of cardiovascular risk.

Indexed as

Blood PressureBlood Pressure Monitoring, AmbulatoryBrain IschemiaStrokeAgedAged, 80 and overFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisRisk FactorsSex Factorscardiovascular diseaseshumanshypertensionrisk factorsstroke

Identifiers

PMID29229726
PMCPMC5742536
OpenAlexW2772978023

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.