Why the study?
Several new clinical studies since the 2015 guideline addressed whether a stricter blood pressure target would be effective for stroke prevention.
What is the optimal blood pressure target for the primary and secondary prevention of ischemic stroke?
What is the optimal blood pressure target for the primary and secondary prevention of ischemic stroke?
The 2021 Taiwan Stroke Society guidelines recommend a strict blood pressure target of <130/80 mm Hg for most patients with hypertension for the prevention of ischemic stroke.
Answers are grounded in this paper and cite their sources.
Updates Taiwan BP targets for stroke prevention; leaves open optimal thresholds pending further RCTs.
BACKGROUND: Since the publication of the 2015 Taiwan Stroke Society Blood Pressure for Treatment and Prevention of Stroke Guideline (2015 TSS BP Guideline), several new clinical studies have addressed whether a stricter blood pressure (BP) target would be effective for stroke prevention. METHODS: TSS guideline consensus group provides recommendations on BP targets for stroke prevention based on updated evidences. RESULTS: The present guideline covers five topics: (1) diagnosis of hypertension; (2) BP control and primary prevention of ischemic stroke; (3) BP control and secondary prevention of ischemic stroke; (4) BP control and secondary prevention of large artery atherosclerosis ischemic stroke; and (5) BP control and secondary prevention of small vessel occlusion ischemic stroke. CONCLUSION: The BP target for most stroke patients with hypertension is <130/80 mm Hg.
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Chi et al. (2022) studied this question.
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