Effects of rapid blood pressure reduction on cerebral blood flow

W. Gary Reed, Ron J. Anderson

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

The changes that occur in the cerebral circulation wiht chronic hypertension are important when considering the therapeutic possibilities in treating patients with severe hypertension. Care must be taken not to lower the blood pressure below the lower limit of autoregulation, no matter what drug is used. In patients with severe, chronic hypertension, blood pressure should be lowered carefully. Rapid blood pressure reduction to a level that is below the lower limit of autoregulation may result in central nervous system dysfunction due to cerebral hypoperfusion. This is especially true in patients with increased intracranial pressure and cerebral edema such as those with hypertensive encephalopathy.

Original languageEnglish (US)
Pages (from-to)226-228
Number of pages3
JournalAmerican Heart Journal
Volume111
Issue number1
DOIs
StatePublished - Jan 1986

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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