Blood Pressure Management for Stroke Prevention and in Acute Stroke

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Blood Pressure Management for Stroke Prevention and in Acute Stroke

Elevated blood pressure (BP) is the leading modifiable risk factor for stroke and the benefit of BP lowering therapy on the stroke risk reduction is well established. The optimal BP target for preventing stroke and other vascular events have been controversial, but the evidences from epidemiological studies and randomized controlled trials (RCTs) support intensive BP lowering for greater vascul...

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Blood pressure management in acute stroke

Correspondence to Professor Philip M Bath; [email protected] ABSTRACT Blood pressure (BP) is elevated in 75% or more of patients with acute stroke and is associated with poor outcomes. Whether to modulate BP in acute stroke has long been debated. With the loss of normal cerebral autoregulation, theoretical concerns are twofold: high BP can lead to cerebral oedema, haematoma expansion...

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Management of blood pressure for acute and recurrent stroke.

Hypertension is the most important modifiable risk factor for stroke.1,2 It is estimated that 25% or more of strokes may be attributable to hypertension. Because many patients with stroke have mild hypertension or prehypertension, we have shifted our focus and now think of stroke on a continuum of risk based on blood pressure (BP) level rather than on a threshold effect.3 Because high BP may no...

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Blood pressure in acute stroke.

Elevated systolic blood pressure levels (> or =160 mmHg) are a common complication of acute stroke, affecting up to 60% of patients, and providing an immediate management dilemma in the 40% of acute stroke patients on pre-existing antihypertensive therapy. There are theoretical reasons for both lowering blood pressure in the acute stroke situation, as well as leaving raised levels untreated. Fu...

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Blood pressure in acute stroke

See Articles pages 364 and 374 Although great advances have been made in stroke medicine in the past two decades, some questions about treatment in the acute phase of stroke remain. One such question is how to manage blood pressure? Blood pressure is often increased in acute ischaemic and haemorrhagic stroke, and fi ndings from epidemiological studies suggest that high blood pressure in the acu...

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ژورنال

عنوان ژورنال: Journal of Stroke

سال: 2017

ISSN: 2287-6391,2287-6405

DOI: 10.5853/jos.2017.00164