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卒中的血压管理:五件新事。

Blood pressure management in stroke: Five new things.

作者信息

Bowry Ritvij, Navalkele Digvijaya D, Gonzales Nicole R

机构信息

University of Texas Health Sciences Center at Houston.

出版信息

Neurol Clin Pract. 2014 Oct;4(5):419-426. doi: 10.1212/CPJ.0000000000000085.

DOI:10.1212/CPJ.0000000000000085
PMID:25317377
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4196458/
Abstract

Hypertension is a major modifiable risk factor for stroke, with an estimated 51% of stroke deaths being attributable to high systolic blood pressure globally. The management of hypertension in stroke is determined by timing, the type of stroke, use of thrombolysis, concurrent medical conditions, and pharmacologic variables. We highlight the details of elevated blood pressure management in the hyperacute/acute, subacute, and chronic stages of ischemic stroke and intracerebral hemorrhage.

摘要

高血压是中风的一个主要可改变风险因素,据估计,全球51%的中风死亡可归因于高收缩压。中风患者高血压的管理取决于时机、中风类型、溶栓药物的使用、并发疾病以及药理学变量。我们重点介绍缺血性中风和脑出血超急性期/急性期、亚急性期和慢性期血压升高管理的细节。

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Blood pressure management in stroke: Five new things.卒中的血压管理:五件新事。
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2
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本文引用的文献

1
Effects of immediate blood pressure reduction on death and major disability in patients with acute ischemic stroke: the CATIS randomized clinical trial.即刻降压对急性缺血性脑卒中患者死亡和主要残疾的影响:CATIS 随机临床试验。
JAMA. 2014 Feb 5;311(5):479-89. doi: 10.1001/jama.2013.282543.
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Aggressive medical treatment with or without stenting in high-risk patients with intracranial artery stenosis (SAMMPRIS): the final results of a randomised trial.高风险颅内动脉狭窄患者(SAMMPRIS)强化药物治疗联合或不联合支架置入的疗效:一项随机试验的最终结果。
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Blood pressure control and primary prevention of stroke: summary of the recent clinical trial data and meta-analyses.血压控制与卒中一级预防:近期临床试验数据及荟萃分析概要。
Curr Hypertens Rep. 2013 Dec;15(6):559-74. doi: 10.1007/s11906-013-0401-0.
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Acute hypertensive response management in patients with acute stroke.急性卒中性高血压的反应管理。
Curr Cardiol Rep. 2013 Dec;15(12):426. doi: 10.1007/s11886-013-0426-7.
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Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischemic stroke.急性缺血性脑卒中患者静脉内使用组织型纤溶酶原激活物治疗时间与结局。
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Stroke. 2013 Mar;44(3):870-947. doi: 10.1161/STR.0b013e318284056a. Epub 2013 Jan 31.
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The neuro-critical care management of the endovascular stroke patient.血管内卒中患者的神经重症监护管理。
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Elevated blood pressure management in acute ischemic stroke remains controversial: could this issue be resolved?急性缺血性脑卒中的血压管理仍存在争议:这个问题能否得到解决?
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Antihypertensive treatment prolongs tissue plasminogen activator door-to-treatment time: secondary analysis of the INSTINCT trial.抗高血压治疗延长组织型纤溶酶原激活剂治疗时间窗:INSTINCT 试验的二次分析。
Stroke. 2012 Dec;43(12):3392-4. doi: 10.1161/STROKEAHA.112.662684. Epub 2012 Oct 2.