title: Blood pressure management in acute stroke.
abstract: Hypertension is the major risk factor for stroke. When patients present with an acute stroke of ischemic or hemorrhagic type, and have elevated blood pressure, there is a dilemma concerning blood pressure reduction. If the blood pressure remains elevated, this may worsen arterial blood vessel wall injury and increase cerebral edema; however if blood pressure is reduced, this may reduce cerebral perfusion pressure and worsen neurological deficit. A review of the existing literature on this controversial issue is presented.
authors.affiliation: Dept of Neurology, Louisiana State University School of Medicine, Shreveport, USA.
authors.forename: R E
authors.initials: RE
authors.lastname: Kelley
mesh_terms: D002543:Cerebral Hemorrhage / Q000209:etiology / Q000503:physiopathology; D002561:Cerebrovascular Disorders / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D012307:Risk Factors