Insights into a personalized management of blood pressure in acute stroke. Issue 1 (February 2022)

• Record Type: Journal Article
• Authors: Advani, Rajiv; Sandset, Else Charlotte
• Is Part Of: Current opinion in neurology. Volume 35:Issue 1(2022)
• Publication Date: 2022-02
• Subjects: blood pressure -- hypertension -- intracerebral haemorrhage -- ischaemic stroke; Neurology -- Periodicals; Nervous system -- Diseases -- Periodicals; 616.805
• DOI: 10.1097/WCO.0000000000001016
• Languages: English
• ISSNs: 1473-6551

Abstract

Abstract : Purpose of review: Blood pressure management in acute stroke has long been a matter of debate. Epidemiological data show that high blood pressure is associated with death, disability and early stroke recurrence, whereas the pathophysiological rationale for ensuring elevated blood pressure in order maintain adequate cerebral perfusion remains a pertinent argument, especially in ischaemic stroke. Recent findings: The European Stroke Organisation Guidelines on blood pressure management in acute ischaemic stroke and intracerebral haemorrhage provide recommendations for the appropriate management of blood pressure in various clinical acute stroke settings. Summary: In this narrative review, we provide specific updates on blood pressure management in ICH, blood pressure management in the setting of reperfusion therapies for ischaemic stroke, and the evidence for the use of induced hypertension in patients with acute ischaemic stroke in the light of the recent guidelines.