Blood pressure control in primary and secondary prevention of stroke

Authors: Prof. MUDr. Miroslav Souček, CSc.
Authors‘ workplace: II. interní klinika LF MU a FN u sv. Anny v Brně miroslav. soucek@fnusa. cz
Published in: Kardiol Rev Int Med 2013, 15(1): 54-58


Primary and secondary preventive measurements significantly decrease the risk of stroke development. Hypertension is one of the most significant risk factors. Moderate drop in values of systolic-diastolic blood pressure leads to 42% decrease in the incidence of stroke. Anti-hypertensive treatment decreases the recurrence probability in patients that already have had a stroke, also in those considered to have normal blood pressure. Evidence for such treatment has been obtained primarily for the combination of ACE inhibitor and diuretic. Unambiguous evidence for optimal treatment in acute phase of a stroke is absent until now. Using angiotensin II receptor blockers in small doses has been shown as secure. Reduced blood pressure may also have a favourable impact on cognitive functions and dementia.

hypertension – stroke – primary and secondary prevention


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