RT Generic
T1 Chronic Management of Hypertension after Stroke: The Role of Ambulatory Blood Pressure Monitoring
A1 Castilla-Guerra, Luis
A1 del Carmen Fernandez-Moreno, Maria
K1 Ambulatory blood pressure monitoring
K1 Blood pressure
K1 Hypertension
K1 Stroke
K1 Secondary prevention
K1 Ischemic-stroke
K1 Prevention
K1 Disease
K1 Outcomes
AB Hypertension is the most important potentially reversible risk factor for stroke in all age groups; high blood pressure (BP) is also associated with increased risk of recurrent stroke in patients who have already had an ischemic or hemorrhagic event. Twenty-four hour ambulatory BP monitoring (ABPM) has become an important tool for improving the diagnosis and management of hypertension, and is increasingly used to assess patients with hypertension. Nevertheless, although ABPM devices are increasingly used for assessment of hypertension, their value in the chronic management of hypertension in patients with stroke has not been systematically studied. In fact, among large-scale randomized trials for secondary stroke prevention, only the Morbidity and Mortality After Stroke, Eprosartan Compared With Nitrendipine for Secondary Prevention trial included 24-hour ABPM. ABPM has demonstrated chronic disruption of the circadian rhythm of BP after acute phase of stroke and has shown higher sensitivity compared to office BP in evaluating the effectiveness of antihypertensive treatment among stroke survivors. High 24 -hour BP is an independent predictor for cerebrovascular events, brain microbleeds, and subsequent development of dementia. Nevertheless, although stroke care guidelines endorse the importance of hypertension management, the specific role of ABPM among stroke survivors after the acute phase of disease has not been established. Further studies are needed to clarify whether routine application of ABPM among these patients should be recommended.
PB Korean stroke soc
SN 2287-6391
YR 2016
FD 2016-01-01
LK http://hdl.handle.net/10668/19384
UL http://hdl.handle.net/10668/19384
LA en
DS RISalud
RD Apr 5, 2025