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Maintaining moderate to low blood pressure is a key element in improving clinical outcomes poststroke

Por: Suner-Soler · R.

Commentary on: Wang R, Liu Y, Zhang Q, et al. Twenty-4 hour blood pressure trajectories and clinical outcomes in patients who had an acute ischaemic stroke. Heart. 2024;110(11):768–774.

Implications for practice and research

  • Blood pressure (BP) should be kept at moderate to low levels in the 24 hours after ischaemic stroke to reduce the risk of adverse outcomes.

  • Future studies need to determine the optimal BP that should be aimed for poststroke to avoid further vascular events.

    • Context

    Haemodynamic management, and particularly the management of blood pressure (BP), is critical to reduce mortality and preserve the functional capacity of people with cardiovascular disease.1 However, there is insufficient evidence to justify lower BP targets (≤135/85 mm Hg) in people with hypertension and established cardiovascular disease.1 Wang et al have undertaken a multicentre clinical trial in 26 hospitals across China to explore both...
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