Internal Med Medical News about management of hypertension;acute stroke

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Management of hypertension in acute stroke
Expert Review of Cardiovascular Therapy , 06/12/09

Aiyagari V et al. – A review of the management of hypertension in acute stroke summaries the focus of recent pilot studies and the key controversies and questions.

Methods

Review of the management of hypertension in acute stroke

Results

Hypertension common seen in an acute stroke setting
Although hypertension is the most important modifiable risk factor for both ischemic and hemorrhagic stroke, immediate management of elevated blood pressure in this setting is controversial
Key questions: when to start lowering blood pressure; by how much to lower pressure; which pharmaceutical agents to use; whether to continue or stop previous antihypertensive medications
Recent pilot studies may serve as a foundation for larger definitive studies

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