Management of hypertension in acute stroke

Abstract

Hypertension is commonly seen in the setting of an acute stroke. Although hypertension is the most important modifiable risk factor for both ischemic and hemorrhagic stroke, the immediate management of elevated blood pressure in this setting is controversial. Questions remain to be definitively answered, such as when to start lowering blood pressure, by how much to lower pressure, which pharmaceutical agents to use and whether to continue or stop previous antihypertensive medications. Recently, pilot studies have been initiated in an attempt to answer these questions and will hopefully lay the foundation for larger definitive studies.

Keywords::

• acute stroke
• blood pressure
• cerebral hemorrhage
• cerebral ischemia
• hypertension

Financial & competing interests disclosure

Venkatesh Aiyagari has served as a consultant for Boehringer-Ingelheim. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.

Notes

Reproduced with permission from [41].

Reproduced from with permission [41].