TY - JOUR
T1 - Systemic blood pressure and stroke outcome and recurrence
AU - Hillis, Argye E.
PY - 2004/7
Y1 - 2004/7
N2 - Although it is clear that hypertension is a primary cause of stroke, there has been recent controversy about blood pressure management after stroke. Recent studies indicate that lowering systemic blood pressure after stroke does reduce the risk of recurrent stroke or vascular events, but other studies provide evidence that blood pressure should not be lowered in the first week after stroke onset. Additional investigations have provided preliminary evidence that raising blood pressure in the first few days after stroke may improve outcome in selective patients. However, other studies have recorded benefit of lowering blood pressure in some patients at the acute stage, whereas still others have identified patients in whom lowering blood pressure even later after stroke may be more harmful than beneficial. The remaining challenge is to identify efficient measures for determining when to lower blood pressure in each case of ischemic stroke.
AB - Although it is clear that hypertension is a primary cause of stroke, there has been recent controversy about blood pressure management after stroke. Recent studies indicate that lowering systemic blood pressure after stroke does reduce the risk of recurrent stroke or vascular events, but other studies provide evidence that blood pressure should not be lowered in the first week after stroke onset. Additional investigations have provided preliminary evidence that raising blood pressure in the first few days after stroke may improve outcome in selective patients. However, other studies have recorded benefit of lowering blood pressure in some patients at the acute stage, whereas still others have identified patients in whom lowering blood pressure even later after stroke may be more harmful than beneficial. The remaining challenge is to identify efficient measures for determining when to lower blood pressure in each case of ischemic stroke.
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U2 - 10.1007/s11883-004-0058-x
DO - 10.1007/s11883-004-0058-x
M3 - Review article
C2 - 15191701
AN - SCOPUS:5444262126
SN - 1523-3804
VL - 6
SP - 274
EP - 280
JO - Current Atherosclerosis Reports
JF - Current Atherosclerosis Reports
IS - 4
ER -