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Acute Blood Pressure Management After Ischemic Stroke

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Hypertension and Stroke

Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

Abstract

Although the long-term treatment of hypertension is effective for secondary stroke prevention, the optimal management of blood pressure in the setting of acute ischemic stroke has been controversial. This chapter discusses the available evidence and current guidelines supporting the management of blood pressure in the setting of acute ischemic stroke. For patients that are candidates for thrombolysis, reduction and maintenance of the BP within the current guidelines is indicated as it likely reduces the risk of hemorrhagic complications. For all other patients, there is no clear benefit and potentially harm for acute blood pressure reduction.

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Authors and Affiliations

  1. Departments of Neurology and Neurosurgery, University of North Carolina School of Medicine, 170 Manning Drive, 2118, CB #7025, Chapel Hill, NC, 27599-7025, USA

    J. Dedrick Jordan M.D., Ph.D. & William J. Powers M.D.

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  1. J. Dedrick Jordan M.D., Ph.D.
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  2. William J. Powers M.D.
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Correspondence to J. Dedrick Jordan M.D., Ph.D. .

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Editors and Affiliations

  1. Departments of Neurological Surgery and Neurology and Neurotherapeutics , University of Texas Southwestern Medical Center , Dallas, Texas, USA

    Venkatesh Aiyagari

  2. Michigan State University Department of Translational Science & Molecular Medicine, Mercy Health Hauenstein Neurosciences, Grand Rapids, Michigan, USA

    Philip B. Gorelick

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Jordan, J.D., Powers, W.J. (2016). Acute Blood Pressure Management After Ischemic Stroke. In: Aiyagari, V., Gorelick, P. (eds) Hypertension and Stroke. Clinical Hypertension and Vascular Diseases. Humana Press, Cham. https://doi.org/10.1007/978-3-319-29152-9_8

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  • DOI: https://doi.org/10.1007/978-3-319-29152-9_8

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  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-29150-5

  • Online ISBN: 978-3-319-29152-9

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