Optimum Blood Pressure Target After Lacunar Stroke

An optimum blood pressure target after lacunar stroke?

482 www.thelancet.com Vol 382 August 10, 2013 Sustained lowering of blood pressure by 10 mm Hg systolic and 5 mm Hg diastolic lessens the risk of recurrent stroke by about one-third (relative risk 0·66, 95% CI 0·56–0·79). Larger reductions in blood pressure are associated with greater reductions in risk. This eff ect is consistent in most subtypes of stroke because hypertension-induced intracra...

Optimum blood pressure target after lacunar stroke: pro side of the argument.

918 L acunar stroke is a small (<20 mm axial diameter), subcor-tical infarct or hemorrhage in the deep white matter, internal capsule, thalamus or ventral pons, in the territory of supply of an intracerebral small penetrating / perforating artery. 1 Lacunar strokes are most commonly ischemic (ie, infarcts) and are caused by disease of intracerebral small (40–200 μm diameter) penetrating arterie...

Optimum blood pressure target after lacunar stroke: con side of the argument.

Blood pressure does no predict lacunar infarction.

We studied the relation between blood pressure and type of cerebral infarction (large or lacunar) in 134 patients with acute hemispheral infarcts that were detectable by computed tomography and that could not be attributed to causes other than atherothrombotic arterial disease. Lacunae were present in 26 patients, and systolic blood pressures were higher in this group than in the 108 patients w...

Chronic management of blood pressure after stroke.

Case A70-year-old, right-handed African American woman with diabetes mellitus, treated with an oral hypoglycemic, and untreated mild hypertension developed right-sided face, arm, and leg weakness while at home preparing breakfast. She was able to reach the telephone and dial 911. An ambulance was summoned, and the Emergency Medical Service team, on arrival, noted a right facial droop, dysarthri...