Key result
Current guidelines support a systolic blood pressure under 140 mm Hg for primary and secondary stroke prevention, though intensive goals may benefit select patients.
Why the study?
Does blood pressure reduction prevent primary and secondary stroke in hypertensive patients?
Does blood pressure reduction prevent primary and secondary stroke in hypertensive patients?
This review highlights that treating hypertension to a target systolic blood pressure of <140 mm Hg is effective for stroke prevention, with ongoing trials investigating more intensive targets.
Answers are grounded in this paper and cite their sources.
Reinforces standard systolic targets for stroke prevention without mandating universal intensive control; leaves open the.
Stroke is a common cause of morbidity and mortality worldwide, and hypertension is the most common modifiable risk factor for stroke. The treatment of hypertension reduces the primary occurrence of stroke as well as the risk of stroke recurrence. Although there are conflicting data regarding the optimal blood pressure for stroke prevention, an individualized approach taking into account the patient's age, comorbidities, and side effects of medication is a helpful strategy. Current guidelines support the pursuit of a systolic blood pressure under 140 mm Hg for both primary and secondary stroke prevention, though recent data suggest a more intensive goal may be of benefit in select patients. Certain classes of antihypertensives may be more beneficial in stroke prevention than others. Trials are underway to further study the optimal blood pressure target for stroke prevention in specific populations as well as the potential benefits of intensive blood pressure reduction beyond the current guidelines.
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Dakay et al. (2017) conducted a review in Stroke and hypertension. Blood pressure management was evaluated. Current guidelines support a systolic blood pressure under 140 mm Hg for primary and secondary stroke prevention, though intensive goals may benefit select patients.
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