Skip to main content
The Egyptian Journal of Internal Medicine
Download PDF

Hypertension in acute stroke: a management dilemma

The Egyptian Journal of Internal Medicine volume 25, pages 111–115 (2013)Cite this article

References

  1. Castillo J, Leira R, García MM, Serena J, Blanco M, Dávalos A. Blood pressure decrease during the acute phase of ischemic stroke is associated with brain injury and poor stroke outcome. Stroke 2004; 35:520–527.

    Article  PubMed Central  Google Scholar 

  2. Oliveira Filho J, Silva SCS, Trabuco CC, Pedreira BB, Sousa EU, Bacellar A. Detrimental effect of blood pressure reduction in the first 24 h of acute stroke onset. Neurology 2003; 61:1047–1051.

    Article  CAS  PubMed Central  Google Scholar 

  3. Goldstein LB. Acute ischemic stroke treatment in 2007. Circulation 2007; 116:1504–1514.

    Article  PubMed Central  Google Scholar 

  4. Kaplan NM. Management of hypertensive emergencies. Lancet 1994; 344:1335–1338.

    Article  CAS  PubMed Central  Google Scholar 

  5. Qureshi AI, Tuhrim S, Broderick JP, Batjer HH, Hondo H, Hanley DF. Spontaneous intracerebral hemorrhage. N Engl J Med 2001; 344:1450–1460.

    Article  CAS  PubMed Central  Google Scholar 

  6. Aiyagari V, Gorelick PB. Management of blood pressure for acute and recurrent stroke. Stroke 2009; 40:2251–2256.

    Article  PubMed Central  Google Scholar 

  7. Jauch EC, Cucchiara B, Adeoye O, Meurer W, Brice J, Chan YYF, et al. Part 11: Adult stroke: 2010 American Heart Association Guidelines for Cardio-pulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122 (Suppl 3): S818–S828.

    Article  PubMed Central  Google Scholar 

  8. Adams HP Jr, Del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and quality of Care Outcomes in Research Interdisciplinary Working Groups. Stroke 2007; 38:1655–1711.

    Article  PubMed Central  Google Scholar 

  9. Qureshi AI, Ezzeddine MA, Nasar A, Suri MFK, Kirmani JF, Hussein HM, et al. Prevalence of elevated blood pressure in 563704 adult patients with stroke presenting to the ED in the United States. Am J Emerg Med 2007; 25: 32–38.

    Article  PubMed Central  Google Scholar 

  10. Zhang Y, Reilly KH, Tong W, Xu T, Chen J, Bazzano LA, et al. Blood pressure and clinical outcome among patients with acute stroke in Inner Mongolia, China. J Hypertens 2008; 26:1446–1452.

    Article  CAS  PubMed Central  Google Scholar 

  11. Xu BN, Yabuki A, Mishina H, Miyazaki M, Maeda M, Ishii S, et al. Patho-physiology of brain swelling after acute experimental brain compression and decompression. Neurosurgery 1993; 32:289–296.

    Article  CAS  PubMed Central  Google Scholar 

  12. Rodriguez Luna D, Rubiera M, Ribo M, Coscojuela P, Piñeiro S, Pagola J, et al. Ultraearly hematoma growth predicts poor outcome after acute intracerebral hemorrhage. Neurology 2011; 77:1599–1604.

    Article  CAS  PubMed Central  Google Scholar 

  13. Broderick JP, Diringer MN, Hill MD, Brun NC, Mayer SA, Steiner T, et al. Determinants of intracerebral hemorrhage growth: an exploratory analysis. Stroke 2007; 38:1072–1075.

    Article  CAS  PubMed Central  Google Scholar 

  14. Rordorf G, McDonald C, Kasner SE, Wilterdink JL. Spontaneous intracerebral hemorrhage: pathogenesis, clinical features and diagnosis. UpToDate 2012.

  15. Menon RS, Burgess RE, Wing JJ, Gibbons MC, Shara NM, Fernandez S, et al. Predictors of highly prevalent brain ischemia in intracerebral hemorrhage. Ann Neurol 2012; 71:199–205.

    Article  PubMed Central  Google Scholar 

  16. Garg RK, Liebling SM, Maas MB, Nemeth AJ, Russell EJ, Naidech AM. Blood pressure reduction, decreased diffusion on MRI and outcomes after intracerebral hemorrhage. Stroke 2012; 43:67–71.

    Article  PubMed Central  Google Scholar 

  17. Anderson CS, Huang Y, Wang JG, Arima H, Neal B, Peng B, et al. Intensive blood pressure reduction in acute cerebral haemorrhage trial (INTERACT): a randomised pilot trial. Lancet Neurol 2008; 7:391–399.

    Article  PubMed Central  Google Scholar 

  18. Anderson CS, Huang Y, Arima H, Heeley E, Skulina C, Parsons MW, et al. Effects of early intensive blood pressure-lowering treatment on the growth of hematoma and perihematomal edema in acute intracerebral hemorrhage: The intensive blood pressure reduction in acute cerebral haemorrhage trial (INTERACT). Stroke 2010; 41:307–312.

    Article  PubMed Central  Google Scholar 

  19. Qureshi AI. Antihypertensive Treatment of Acute Cerebral Hemorrhage (ATACH): rationale and design. Neurocrit Care 2007; 6:56–66.

    Article  CAS  PubMed Central  Google Scholar 

  20. Broderick J, Connolly S, Feldmann E, Hanley D, Kase C, Krieger D, et al. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update. Guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood P ressure Research Council and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Stroke 2007; 38: 2001–2023.

    Article  PubMed Central  Google Scholar 

  21. Morgenstern LB, Hemphill JC III, Anderson C, Becker K, Broderick JP, Connolly ES Jr, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2010; 41:2108–2129.

    Article  PubMed Central  Google Scholar 

  22. Adams HP Jr, Del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups. Stroke 2007; 38:1655–1711.

    Article  PubMed Central  Google Scholar 

  23. Mendelow AD, Gregson BA, Fernandes HM, Murray GD, Teasdale GM, Terence Hope D, et al. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): A randomised trial. Lancet 2005; 365:387–397.

    Article  Google Scholar 

  24. Nakano T, Ohkuma H. Surgery versus conservative treatment for intracerebral haemorrhage – Is there an end to the long controversy? Lancet 2005; 365:361–362.

    Article  PubMed Central  Google Scholar 

  25. Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, et al. Guidelines for the management of severe traumatic brain injury. IX. Cerebral perfusion thresholds. J Neurotrauma 2007; 24 (Suppl 1): S59–S64.

    Article  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Internal Medicine, Emergency Unit, Cairo University, Cairo, Egypt

    Amany A.M. Sholkamy, Mohamad Salem & Magy Bahgat

Authors
  1. Amany A.M. Sholkamy
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mohamad Salem
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Magy Bahgat
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Amany A.M. Sholkamy.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sholkamy, A.A., Salem, M. & Bahgat, M. Hypertension in acute stroke: a management dilemma. Egypt J Intern Med 25, 111–115 (2013). https://doi.org/10.7123/01.EJIM.0000431462.25347.09

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.7123/01.EJIM.0000431462.25347.09