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Young adults with ischemic stroke have generally favorable clinical outcomes at 3 years, though secondary prevention efforts like smoking cessation remain inadequate.
Should consulting neurologists be concerned about blood pressure in stroke patients?Over 50% of stroke survivors with documented hypertension do not have their blood pressure controlled.Messerli et al. review data and implications for the PROGRESS trial, which challenges such therapeutic nihilism mandating that all physicians assess and treat hypertension in patients who have had a stroke. see followingBlood pressure and stroke. ..stroke and blood pressure Commentary by Barney J. Stern, MD Clinical outcome in consecutive young adults with ischemic strokeLeys et al. found low rates of stroke recurrence, myocardial infarction, dependency, and mortality in 287 young adults, 3 years after stroke.Epileptic seizures occurred in 6.6% of patients.Whereas most risk factors were well treated, only one fifth of smokers gave up smoking.
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A 2002 study studied this question.
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