Blood Pressure Management in Acute Stroke

Victor Urrutia, Robert J. Wityk

Research output: Contribution to journalArticle

Abstract

The optimal management of arterial blood pressure in the setting of an acute stroke has not been defined. Many articles have been published on this topic in the past few years, but definitive evidence from clinical trials continues to be lacking. This situation is complicated further because stroke is a heterogeneous disease. The best management of arterial blood pressure may differ, depending on the type of stroke (ischemic or hemorrhagic) and the subtype of ischemic or hemorrhagic stroke. This article reviews the relationship between arterial blood pressure and the pathophysiology specific to ischemic stroke, primary intracerebral hemorrhage, and aneurysmal subarachnoid hemorrhage, elaborating on the concept of ischemic penumbra and the role of cerebral autoregulation. The article also examines the impact of blood pressure and its management on outcome. Finally, an agenda for research in this field is outlined.

Original languageEnglish (US)
Pages (from-to)565-583
Number of pages19
JournalNeurologic Clinics
Volume26
Issue number2
DOIs
StatePublished - May 2008

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Stroke
Blood Pressure
Arterial Pressure
Cerebral Hemorrhage
Subarachnoid Hemorrhage
Homeostasis
Clinical Trials
Research

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Blood Pressure Management in Acute Stroke. / Urrutia, Victor; Wityk, Robert J.

In: Neurologic Clinics, Vol. 26, No. 2, 05.2008, p. 565-583.

Research output: Contribution to journalArticle

Urrutia, Victor ; Wityk, Robert J. / Blood Pressure Management in Acute Stroke. In: Neurologic Clinics. 2008 ; Vol. 26, No. 2. pp. 565-583.
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