Wajngarten Mauricio, Silva Gisele Sampaio
Sao Paulo University Medical School Brazil.
Neurology and Neurosurgery Department, Federal University of São Paulo Brazil.
Eur Cardiol. 2019 Jul 11;14(2):111-115. doi: 10.15420/ecr.2019.11.1. eCollection 2019 Jul.
Stroke is the second most common cause of mortality worldwide and the third most common cause of disability. Hypertension is the most prevalent risk factor for stroke. Stroke causes and haemodynamic consequences are heterogeneous which makes the management of blood pressure in stroke patients complex requiring an accurate diagnosis and precise definition of therapeutic goals. In this article, the authors provide an updated review on the management of arterial hypertension to prevent the first episode and the recurrence. They also present a discussion on blood pressure management in hypertensive urgencies and emergencies, especially in the acute phase of hypertensive encephalopathy, ischaemic stroke and haemorrhagic stroke.
中风是全球第二大常见死因,也是第三大常见致残原因。高血压是中风最普遍的危险因素。中风的病因和血流动力学后果具有异质性,这使得中风患者的血压管理变得复杂,需要准确诊断和精确界定治疗目标。在本文中,作者提供了关于动脉高血压管理以预防首次发作和复发的最新综述。他们还讨论了高血压急症和紧急情况中的血压管理,特别是在高血压脑病、缺血性中风和出血性中风的急性期。