The management of hypertension for an acute stroke: What is the blood pressure goal?

Philip B. Gorelick, Venkatesh Aiyagari

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Stroke is the 4th leading cause of death in the US and a leading cause of disability among adults. Stroke is broadly classified into ischemic and hemorrhagic subtypes. Although the pathogenesis may differ between ischemic and hemorrhagic stroke subtypes, a unifying feature is that hypertension is a major risk factor for most ischemic and hemorrhagic strokes. Prevention of first and recurrent stroke is substantially dependent on blood pressure control. There is controversy about blood pressure management in acute stroke. In this review we discuss controversies about and guidelines for management of blood pressure in acute stroke. We subdivide our discussion to address important questions about acute blood pressure management in ischemic stroke, intraparenchymal hemorrhage, and subarachnoid hemorrhage. In addition, we address BP control recommendations when tissue plasminogen activator administration is being contemplated for treatment of acute ischemic stroke.

Original languageEnglish (US)
Article number366
JournalCurrent Cardiology Reports
Volume15
Issue number6
DOIs
StatePublished - Apr 22 2013

Keywords

  • Acute stroke
  • Blood pressure
  • Guidelines
  • Hemorrhagic stroke
  • Hypertension
  • Ischemic stroke
  • Mean arterial pressure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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