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July 22, 1974JAMA

Effect of Antihypertensive Treatment on Stroke Recurrence

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Implication

Placebo-controlled trial demonstrates no significant reduction in stroke recurrence with antihypertensive therapy, suggesting limited secondary stroke prevention.

Key Points

  • To evaluate whether antihypertensive drug therapy reduces the rate of stroke recurrence and cardiovascular endpoints in hypertensive stroke survivors.
  • Placebo-controlled trial evaluating N=452 stroke survivors with baseline recumbent blood pressures of 140–220 mm Hg systolic and 90–115 mm Hg diastolic (mean 167/100 mm Hg).
  • Participants were assigned to receive either an antihypertensive drug or placebo and followed for a mean period of 3 years.
  • Antihypertensive therapy did not produce a statistically significant reduction in stroke recurrence compared to placebo.
  • Cardiovascular disease endpoints overall showed no statistically significant reduction, with the exception of congestive heart failure, which was significantly reduced in the drug-treated group.

Cite This Study

A 1974 study studied this question.

synapsesocial.com/papers/6a198b16196cd56b09ea5ffahttps://doi.org/10.1001/jama.1974.03230420021019
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of Antihypertensive Treatment in Patients Having Already Suffered From Stroke1997 · 250 citations
  2. 2Antihypertensive Treatment after Stroke and All-Cause Mortality – An Analysis of the General Practitioner Research Database (GPRD)2009 · 15 citations
  3. 3Antihypertensive strategies for the prevention of secondary stroke: a systematic review and meta-analysis2025 · 5 citations
  4. 4Effect of Antihypertensive Therapy on Incident Stroke in Cohorts With Prehypertensive Blood Pressure Levels2011 · 75 citations
  5. 5Blood Pressure Lowering for the Prevention of Stroke Recurrence2010 · 2 citations