Neurocritical care and periprocedural blood pressure management in acute stroke

被引:7
作者
Sheth, Kevin N. [1 ]
Sims, John R. [2 ]
机构
[1] Univ Maryland, Sch Med, Dept Neurol,R Adams Cowley Shock Trauma Ctr, Program Shock Trauma & Anesthesiol Res STAR, Baltimore, MD 21201 USA
[2] Massachusetts Gen Hosp, Dept Neurol, Boston, MA 02114 USA
关键词
ACUTE ISCHEMIC-STROKE; TISSUE-PLASMINOGEN ACTIVATOR; 1ST; 24; HOURS; HEMORRHAGIC TRANSFORMATION; INDUCED HYPERTENSION; CEREBRAL-ISCHEMIA; PROGNOSTIC VALUE; FLOW; OUTCOMES; ASSOCIATION;
D O I
10.1212/WNL.0b013e31826958f4
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The purpose of this article is to review the literature on periprocedural blood pressure (BP) management in acute ischemic stroke and to establish guidelines regarding management of BP. These guidelines are drawn from available evidence and expert opinion. This article reviews the pathophysiologic considerations of BP in ischemic stroke. It also examines the natural history of BP changes during stroke, as well as data on induced BP reduction and hypertension, particularly in light of reperfusion therapy. Finally, the article reviews major ongoing clinical trials for BP management in this setting. Recommendations made in this article may serve as a benchmark for future research in BP management in this patient population. Neurology (R) 2012;79 (Suppl 1):S199-S204
引用
收藏
页码:S199 / S204
页数:6
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