Therapeutic Approach to Hypertensive Emergencies: Hemorrhagic Stroke.
High Blood Press Cardiovasc Prev. 2018 Jun; 25(2):191-195.HB

Abstract

Arterial hypertension represents the most important risk factor for ischemic and haemorrhagic stroke, and an acute hypertensive response is often observed in patients with intracranial haemorrhage (ICH). Available data indicate that the vast majority (> 70%) of patient with acute ICH have a systolic BP above 140 mmHg at the time of presentation in the ED; about 20% have SBP values above 180 mmHg. Severe BP elevation in the presence of ICH represents a hypertensive emergency, and worsening of clinical conditions is not infrequent in the first hours after admission; an aggressive early management is therefore required for these patients. Despite this, appropriate management of BP in acute ICH is still controversial, due to the complex issues involved, and the heterogeneous results obtained in clinical trials. This article will review the available evidence supporting acute BP reduction in acute ICH.

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Authors+Show Affiliations

Salvetti M

Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy. massimo.salvetti@unibs.it. 2ª Medicina ASST Spedali Civili di Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy. massimo.salvetti@unibs.it. Società Italiana dell'Ipertensione Arteriosa, Milano, Italy. massimo.salvetti@unibs.it.

Paini A

Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy. 2ª Medicina ASST Spedali Civili di Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy. Società Italiana dell'Ipertensione Arteriosa, Milano, Italy.

MeSH

Antihypertensive AgentsBlood PressureEmergency Service, HospitalHumansHypertensionIntracranial Hemorrhage, HypertensivePractice Guidelines as TopicRisk FactorsStrokeTime FactorsTreatment Outcome

Pub Type(s)

Journal Article

Review

Language

eng

PubMed ID

29869130

Citation

Salvetti, Massimo, et al. "Therapeutic Approach to Hypertensive Emergencies: Hemorrhagic Stroke." High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension, vol. 25, no. 2, 2018, pp. 191-195.

Salvetti M, Paini A, Bertacchini F, et al. Therapeutic Approach to Hypertensive Emergencies: Hemorrhagic Stroke. High Blood Press Cardiovasc Prev. 2018;25(2):191-195.

Salvetti, M., Paini, A., Bertacchini, F., Aggiusti, C., Stassaldi, D., Verzeri, L., Saccà, G., & Muiesan, M. L. (2018). Therapeutic Approach to Hypertensive Emergencies: Hemorrhagic Stroke. High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension, 25(2), 191-195. https://doi.org/10.1007/s40292-018-0262-3

Salvetti M, et al. Therapeutic Approach to Hypertensive Emergencies: Hemorrhagic Stroke. High Blood Press Cardiovasc Prev. 2018;25(2):191-195. PubMed PMID: 29869130.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Therapeutic Approach to Hypertensive Emergencies: Hemorrhagic Stroke. AU - Salvetti,Massimo, AU - Paini,Anna, AU - Bertacchini,Fabio, AU - Aggiusti,Carlo, AU - Stassaldi,Deborah, AU - Verzeri,Laura, AU - Saccà,Giovanni, AU - Muiesan,Maria Lorenza, Y1 - 2018/06/04/ PY - 2018/03/19/received PY - 2018/05/23/accepted PY - 2018/6/6/pubmed PY - 2018/8/28/medline PY - 2018/6/6/entrez KW - Hemorrhagic stroke KW - Therapeutic approach KW - hypertension emergencies SP - 191 EP - 195 JF - High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension JO - High Blood Press Cardiovasc Prev VL - 25 IS - 2 N2 - Arterial hypertension represents the most important risk factor for ischemic and haemorrhagic stroke, and an acute hypertensive response is often observed in patients with intracranial haemorrhage (ICH). Available data indicate that the vast majority (> 70%) of patient with acute ICH have a systolic BP above 140 mmHg at the time of presentation in the ED; about 20% have SBP values above 180 mmHg. Severe BP elevation in the presence of ICH represents a hypertensive emergency, and worsening of clinical conditions is not infrequent in the first hours after admission; an aggressive early management is therefore required for these patients. Despite this, appropriate management of BP in acute ICH is still controversial, due to the complex issues involved, and the heterogeneous results obtained in clinical trials. This article will review the available evidence supporting acute BP reduction in acute ICH. SN - 1179-1985 UR - https://www.unboundmedicine.com/medline/citation/29869130/Therapeutic_Approach_to_Hypertensive_Emergencies:_Hemorrhagic_Stroke_ DB - PRIME DP - Unbound Medicine ER -

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Therapeutic Approach to Hypertensive Emergencies: Hemorrhagic Stroke.High Blood Press Cardiovasc Prev. 2018 Jun; 25(2):191-195.HB