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Blutdrucksenkung vor und nach Schlaganfall: Empfehlungen der aktuellen europäischen Leitlinien


Sudano, Isabella; Nägele, Matthias (2015). Blutdrucksenkung vor und nach Schlaganfall: Empfehlungen der aktuellen europäischen Leitlinien. Praxis, 104(15):789-794.

Abstract

Arterial hypertension is the most important modifiable risk factor for stroke. Up to 50% of all strokes may be attributable to hypertension. The risk of stroke is known to increase in a continuous fashion with a blood pressure (BP) of 115/75 mmHg and higher. Patients with an abnormal circadian BP behavior also appear to be at risk. The benefit of antihypertensive drug therapy has been shown in both primary and secondary prevention of stroke. Generally, a BP target of under 140/90 mmHg is recommended. BP lowering itself appears to be decisive rather than choice of the antihypertensive drug. In the acute phase of ischemic stroke and with some exceptions, BP should only be actively lowered at values over 220/120 mmHg.

Abstract

Arterial hypertension is the most important modifiable risk factor for stroke. Up to 50% of all strokes may be attributable to hypertension. The risk of stroke is known to increase in a continuous fashion with a blood pressure (BP) of 115/75 mmHg and higher. Patients with an abnormal circadian BP behavior also appear to be at risk. The benefit of antihypertensive drug therapy has been shown in both primary and secondary prevention of stroke. Generally, a BP target of under 140/90 mmHg is recommended. BP lowering itself appears to be decisive rather than choice of the antihypertensive drug. In the acute phase of ischemic stroke and with some exceptions, BP should only be actively lowered at values over 220/120 mmHg.

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Other titles:Blood Pressure Lowering for Prevention and Treatment of Stroke: Recommendations of the Current European Guidelines
Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:22 July 2015
Deposited On:15 Feb 2016 14:23
Last Modified:08 Dec 2017 18:13
Publisher:Hogrefe
ISSN:1661-8157
Publisher DOI:https://doi.org/10.1024/1661-8157/a002073
PubMed ID:26204337

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