Stroke, Vol 17, 861-864, Copyright © 1986 by American Heart Association
M Britton, A Carlsson and U de Faire
The natural course of blood pressure (BP) was studied after emergency
hospitalization in 209 consecutive stroke patients and as many age and sex
matched controls. Histories of hypertension were more common among patients
than controls (46% vs 26%). On admission 69% of the stroke group and 36% of
the controls had BP greater than or equal to 170/100 mm Hg. In the first
four days there was a spontaneous BP decline, which was greater the higher
the initial values. During the whole hospitalization though, stroke
patients with previous hypertension had the highest BP levels and
previously normotensive controls the lowest. Even if WHO as well as the
Joint Committee for Stroke have recommended cautious antihypertensive
therapy in stroke patients with extreme hypertension, such therapy is not
evaluated. If this is to be done, the present findings have to be taken
into consideration. Stroke controls, matched according to the initial BP
level, will thus be required.
ARTICLES
Blood pressure course in patients with acute stroke and matched controls
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