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Published in: Journal of Neurology 3/2021

01-03-2021 | Stroke | Review

Targeting blood pressure for stroke prevention: current evidence and unanswered questions

Author: Yannick Béjot

Published in: Journal of Neurology | Issue 3/2021

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Abstract

High blood pressure (BP) is the leading modifiable risk factor of stroke worldwide. Although randomized clinical trials have demonstrated the beneficial effect of BP reduction on stroke risk, there are still insufficiently explored issues concerning the optimal personalized management of BP in stroke patients in terms of thresholds to be achieved and drug classes to be prescribed. Few data are available about BP control in specific clinical contexts such as in older patients, in various stroke subtypes, or in association with co-morbidities such as diabetes. In addition, although drug trials based their conclusions on achieved mean BP values, recent findings indicate that aspects such as circadian variations of BP and BP variability should be taken into account as well. This article aims to highlight current knowledge about BP control in stroke prevention and to provide new perspectives to be addressed in future studies so as to guide clinicians in their day-to-day practice.
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Metadata
Title
Targeting blood pressure for stroke prevention: current evidence and unanswered questions
Author
Yannick Béjot
Publication date
01-03-2021
Publisher
Springer Berlin Heidelberg
Published in
Journal of Neurology / Issue 3/2021
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI
https://doi.org/10.1007/s00415-019-09443-5

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