Blood pressure management in acute stroke

Appleton, Jason P.; Sprigg, Nikola; Bath, Philip M

doi:10.1136/svn-2016-000020

Cited by 67 publications

(43 citation statements)

References 104 publications

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“…and Cushing's reflex (a vasopressor response in response to increased intracranial pressure) (4)(5)(6)(7)(8). Whilst this hypertensive response is typically self-limiting (9), it has been associated with poor outcome (10).…”

Section: Introductionmentioning

confidence: 99%

Managing high blood pressure during acute ischemic stroke and intracerebral hemorrhage

Appiah

Minhas

Robinson

2018

Current Opinion in Neurology

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There are clear national and international guidelines on BP lowering for specific indications, as well as ongoing clinical trials aiming to address common clinical scenarios in which the evidence-base is lacking and uncertain. This is specifically in important stroke subgroups previously excluded from trials, patients requiring mechanical thrombectomy and nonvitamin K antagonist-associated ICH reversal.

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Section: Introductionmentioning

confidence: 99%

Managing high blood pressure during acute ischemic stroke and intracerebral hemorrhage

Appiah

Minhas

Robinson

2018

Current Opinion in Neurology

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“…13 The most common stroke type among participants in this study is ischaemic (54%) and this is consistent with several epidemiologic studies. 8,[14][15][16] The findings of the current study indicated that older stroke patients presented with poorer oral hygiene. Old age as a stage in life is associated with declining personal hygiene which has been linked to self-neglect.…”

mentioning

confidence: 49%

Demographic correlates of oral hygiene among stroke survivors undergoing rehabilitation

Lawal

Ibrahim²,

Ramphoma

2019

S. Afr. dent. j.

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Oral-related health does not primarily attract attention among healthcare providers during planning and processing of rehabilitation after stroke. Individuals who suffered stroke present with different forms of limitations, affecting both the basic and instrumental aspects of Activities of Daily living (ADL), ranging from personal grooming to participation within the community. These limitations by extension affect specific and general hygiene. One specific aspect of personal hygiene that has received minimal attention, particularly in stroke patients undergoing rehabilitation, is the status of oral hygiene. 2

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“…The relapse frequency depends on the subtype of stroke and is the highest in patients who have suffered from stroke due to embolism of cardiac origin, and in cases of a significant stenosis of the carotid arteries [27]. At the same time, high blood pressure is a high-risk factor for patients in all age groups, which further increases the risk of recurrent stroke [65,66,67].…”

Section: Discussionmentioning

confidence: 99%

Stroke epidemiology based on experience from Krasnik county in eastern Poland

Drop

Kos

Furtak–Niczyporuk

2020

Ann Agric Environ Med.

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Introduction. Cerebrovascular diseases in Poland constitute a bigger threat to life in men than in women, especially after the age of 60. Death rates indicate higher stroke over-mortality in the rural population rather than the urban. At the same time, stroke is the main cause of long-term disability, since half of the patients are unable to independently perform daily activities, which makes them dependent on other people. Materials and method. The study was conducted in the Independent Public Healthcare Institution in Kraśnik, eastern Poland. It covered the medical records of 1,500 patients, 780 women (52%) and 720 men (48%), aged 20-100, diagnosed with cerebral infarction. The patients were hospitalised between 2011-2016 in the Neurology Ward with a Stroke Unit, the Internal Medicine Ward, and the Anaesthetics and Intensive Care Ward. Results. The stroke patients hospitalised in the Independent Public Healthcare Institution in Kraśnik were residents of urban communes (59.1% of subjects) and rural communes (40.9%). The most often diagnosed type of stroke was due to embolism of the cerebral arteries (I63.4) in women (63.48%). In men, the most most often diagnosed type was cerebral infarction due to thrombosis of the cerebral arteries (I63.3; 51.33%). Stroke in 36.15% of the female subjects resulted in death. In male subjects, death occurred in 26.11% of the cases. Conclusions. Women aged around 78-years-old were the most likely to suffer a stroke. In men, it occurred eight years earlier. Despite residents of urban areas being hospitalised due to stroke more often, deaths caused by this disease were recorded the most frequently among rural residents. It can be concluded that primary stroke prevention is the only effective measure for reducing morbidity and premature mortality in the population.

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Blood pressure management in acute stroke

Cited by 67 publications

References 104 publications

Managing high blood pressure during acute ischemic stroke and intracerebral hemorrhage

Managing high blood pressure during acute ischemic stroke and intracerebral hemorrhage

Demographic correlates of oral hygiene among stroke survivors undergoing rehabilitation

Stroke epidemiology based on experience from Krasnik county in eastern Poland

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