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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Managing high blood pressure in hypertensive patients with an acute ischemic stroke

I Mursalov1, A Muneer2, R Aringazina3

  • 1Department of Pediatry, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.

Hipertension Y Riesgo Vascular
|May 31, 2022
PubMed

Insights

In patients with arterial hypertension and acute ischemic stroke, higher diastolic blood pressure correlates with greater stroke severity and poorer outcomes. This highlights diastolic pressure as a key indicator for monitoring neurological deficits.

Area of Science:

  • Neurology
  • Cardiology
  • Public Health

Background:

  • Arterial hypertension (AH) is a primary risk factor for acute cerebrovascular accidents.
  • Understanding blood pressure management in acute ischemic stroke (AIS) is critical.

Purpose of the Study:

  • To analyze blood pressure reduction patterns in AH patients during acute ischemic stroke.
  • To examine how sex, age, medical history, and clinical factors influence these patterns.

Main Methods:

  • Study included 120 patients (41-77 years) with diagnosed AH and AIS.
  • Patients were monitored for 14 days post-stroke onset within 24 hours.

Main Results:

  • Elevated diastolic blood pressure correlated with higher NIH Stroke Scale and Rankin scale scores.
  • Increased diastolic pressure was linked to worse patient health status at hospital discharge.

Conclusions:

  • Diastolic blood pressure serves as a marker for neurological disorder severity in AIS.
  • Monitoring diastolic pressure is crucial for managing AIS patients with hypertension.
Abstract

Keywords:
Accidente cerebrovascular isquémicoArterial hypertensionBlood pressure reductionEstratificación de pacientesHipertensión arterialIschemic strokePatient stratificationReducción de la presión arterial

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