Volume of white matter hyperintensities increases with blood pressure in patients with hypertension

Objective Hypertension is a risk factor for development of white matter hyperintensities (WMHs). However, the relationship between hypertension and WMHs remains obscure. We sought to clarify this relationship using clinical data from different regions of China. Methods We analyzed the data of 333 pa...

Full description

Bibliographic Details
Main Authors: Yu Zhao, Zunyu Ke, Wenbo He, Zhiyou Cai
Format: Article
Language:English
Published: SAGE Publishing 2019-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060519858023
_version_ 1818723367876820992
author Yu Zhao
Zunyu Ke
Wenbo He
Zhiyou Cai
author_facet Yu Zhao
Zunyu Ke
Wenbo He
Zhiyou Cai
author_sort Yu Zhao
collection DOAJ
description Objective Hypertension is a risk factor for development of white matter hyperintensities (WMHs). However, the relationship between hypertension and WMHs remains obscure. We sought to clarify this relationship using clinical data from different regions of China. Methods We analyzed the data of 333 patients with WMHs in this study. All included patients underwent conventional magnetic resonance imaging (MRI) examination. A primary diagnosis of WMHs was made according to MRI findings. The volume burden of WMHs was investigated using the Fazekas scale, which is widely used to rate the degree of WMHs. We conducted retrospective clinical analysis of the data in this study. Results Our findings showed that WMHs in patients with hypertension were associated with diabetes, cardiovascular diseases, history of cerebral infarct, and plasma glucose and triglyceride levels. Fazekas scale scores for WMHs increased with increased blood pressure values in patients with hypertension. Conclusion This analysis indicates that hypertension is an independent contributor to the prevalence and severity of WMHs.
first_indexed 2024-12-17T21:09:24Z
format Article
id doaj.art-1e41eed9a87b4419bc98257ca7b35743
institution Directory Open Access Journal
issn 0300-0605
1473-2300
language English
last_indexed 2024-12-17T21:09:24Z
publishDate 2019-08-01
publisher SAGE Publishing
record_format Article
series Journal of International Medical Research
spelling doaj.art-1e41eed9a87b4419bc98257ca7b357432022-12-21T21:32:30ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002019-08-014710.1177/0300060519858023Volume of white matter hyperintensities increases with blood pressure in patients with hypertensionYu ZhaoZunyu KeWenbo HeZhiyou CaiObjective Hypertension is a risk factor for development of white matter hyperintensities (WMHs). However, the relationship between hypertension and WMHs remains obscure. We sought to clarify this relationship using clinical data from different regions of China. Methods We analyzed the data of 333 patients with WMHs in this study. All included patients underwent conventional magnetic resonance imaging (MRI) examination. A primary diagnosis of WMHs was made according to MRI findings. The volume burden of WMHs was investigated using the Fazekas scale, which is widely used to rate the degree of WMHs. We conducted retrospective clinical analysis of the data in this study. Results Our findings showed that WMHs in patients with hypertension were associated with diabetes, cardiovascular diseases, history of cerebral infarct, and plasma glucose and triglyceride levels. Fazekas scale scores for WMHs increased with increased blood pressure values in patients with hypertension. Conclusion This analysis indicates that hypertension is an independent contributor to the prevalence and severity of WMHs.https://doi.org/10.1177/0300060519858023
spellingShingle Yu Zhao
Zunyu Ke
Wenbo He
Zhiyou Cai
Volume of white matter hyperintensities increases with blood pressure in patients with hypertension
Journal of International Medical Research
title Volume of white matter hyperintensities increases with blood pressure in patients with hypertension
title_full Volume of white matter hyperintensities increases with blood pressure in patients with hypertension
title_fullStr Volume of white matter hyperintensities increases with blood pressure in patients with hypertension
title_full_unstemmed Volume of white matter hyperintensities increases with blood pressure in patients with hypertension
title_short Volume of white matter hyperintensities increases with blood pressure in patients with hypertension
title_sort volume of white matter hyperintensities increases with blood pressure in patients with hypertension
url https://doi.org/10.1177/0300060519858023
work_keys_str_mv AT yuzhao volumeofwhitematterhyperintensitiesincreaseswithbloodpressureinpatientswithhypertension
AT zunyuke volumeofwhitematterhyperintensitiesincreaseswithbloodpressureinpatientswithhypertension
AT wenbohe volumeofwhitematterhyperintensitiesincreaseswithbloodpressureinpatientswithhypertension
AT zhiyoucai volumeofwhitematterhyperintensitiesincreaseswithbloodpressureinpatientswithhypertension