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Current guidelines for blood pressure management in acute stroke
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Abstract
Stroke is the nosological unit burdened high percentage of early mortality, difficult prognosis for the recovery efficiency. Current recommendations support the place of antihypertensive therapy in the treatment of acute stroke, as first-line indicating labetalol. Nicardipine is the next line drug, in exceptional circumstances, nitroglycerin and sodium nitroprusside. The question of the legitimacy of antihypertensive therapy in the context of early prognosis in patients with stroke raise the CATIS trial results — the findings of a study shows there is no evidence for a beneficial effect of antihypertensive treatment in the acute phase of stroke to reduce early mortality, disability in stroke patients.
Abstract
Stroke is the nosological unit burdened high percentage of early mortality, difficult prognosis for the recovery efficiency. Current recommendations support the place of antihypertensive therapy in the treatment of acute stroke, as first-line indicating labetalol. Nicardipine is the next line drug, in exceptional circumstances, nitroglycerin and sodium nitroprusside. The question of the legitimacy of antihypertensive therapy in the context of early prognosis in patients with stroke raise the CATIS trial results — the findings of a study shows there is no evidence for a beneficial effect of antihypertensive treatment in the acute phase of stroke to reduce early mortality, disability in stroke patients.
Keywords
hypertension, blood pressure, acute stroke, emergency medicine
About this articleTitle
Current guidelines for blood pressure management in acute stroke
Journal
Issue
Article type
Review paper
Pages
460-464
Published online
2014-05-16
Page views
760
Article views/downloads
1646
Bibliographic record
Nadciśnienie tętnicze 2013;17(6):460-464.
Keywords
hypertension
blood pressure
acute stroke
emergency medicine
Authors
Marta Sołtysiak
Elżbieta Jaroszyńska
Krystyna Widecka