Related Experiment Video

Updated: Mar 1, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

12.7K

Blood Pressure Management for Stroke Prevention and in Acute Stroke

Keun-Sik Hong1

  • 1Department of Neurology, Ilsan Paik Hospital, Inje University, Goyang, Korea.

Journal of Stroke
|June 9, 2017
PubMed

Insights

Lowering high blood pressure (BP) effectively reduces stroke risk. Intensive BP lowering offers greater vascular protection, especially for primary stroke prevention, but evidence for secondary prevention and acute stroke management varies.

Area of Science:

  • Neurology
  • Cardiology
  • Public Health

Background:

  • Elevated blood pressure (BP) is a primary modifiable risk factor for stroke.
  • BP-lowering therapy significantly reduces stroke risk, but optimal targets remain debated.
  • Existing evidence supports intensive BP lowering for enhanced vascular protection.

Purpose of the Study:

  • To review current evidence on optimal BP management for stroke prevention.
  • To examine BP targets for primary and secondary stroke prevention.
  • To summarize BP management strategies in acute stroke settings.

Main Methods:

  • Systematic review of epidemiological studies and randomized controlled trials (RCTs).
  • Analysis of data on BP lowering for primary and secondary stroke prevention.
  • Evaluation of evidence for BP management in acute intracerebral hemorrhage and ischemic stroke.

Main Results:

  • Intensive BP lowering is beneficial for primary stroke prevention.
  • Limited RCT evidence exists for intensive BP lowering in secondary stroke prevention.
  • Guidelines recommend immediate BP lowering (systolic BP <140 mm Hg) in acute intracerebral hemorrhage.
  • Early BP lowering is generally not recommended in acute ischemic stroke due to lack of proven benefit and potential harm.

Conclusions:

  • Optimal BP targets vary depending on stroke type and prevention stage.
  • Further research is needed for secondary stroke prevention BP targets.
  • Current guidelines provide specific recommendations for acute stroke BP management.

Keywords:
Blood pressureIntracerebral hemorrhagePrevention, Acute ischemic strokeStroke

More Related Videos

Real-Time Monitoring and Modulation of Blood Pressure in a Rabbit Model of Ischemic Stroke09:00

Real-Time Monitoring and Modulation of Blood Pressure in a Rabbit Model of Ischemic Stroke

Published on: February 10, 2023

1.7K
A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats04:38

A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats

Published on: May 22, 2019

10.9K

Related Concept Videos

Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
554
Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
532
Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
792
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
4.6K
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
520
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
1.6K