Management of blood pressure in acute stroke

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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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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 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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Blood pressure in acute stroke.

1 Wong AA, Davis JP, Schluter PJ, Henderson RD, O’Sullivan JD, Read SJ: The time course and determinants of blood pressure within the first 48 h after ischemic stroke. Cerebrovasc Dis 2007; 24: 426–433. 2 Christensen H, Meden P, Overgaard K, Boysen G: The course of blood pressure in acute stroke is related to the severity of the neurological deficits. Acta Neurol Scand 2002; 106: 142–147. 3 Car...

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ژورنال

عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques

سال: 2002

ISSN: 0317-1671,2057-0155

DOI: 10.1017/s0317167100002316