Chronic Management of Hypertension after Stroke: The Role of Ambulatory Blood Pressure Monitoring
Hypertension is the most important potentially reversible risk factor for stroke in all age groups; high blood pressure (BP) is also associated with increased risk of recurrent stroke in patients who have already had an ischemic or hemorrhagic event. Twenty-four hour ambulatory BP monitoring (ABPM)...
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Korean Stroke Society
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doaj-2234f0744d1a46b0b7852c8d07cb1c982020-11-25T04:00:49ZengKorean Stroke SocietyJournal of Stroke2287-63912287-64052016-01-01181313710.5853/jos.2015.01102110Chronic Management of Hypertension after Stroke: The Role of Ambulatory Blood Pressure MonitoringLuis Castilla-Guerra0Maria del Carmen Fernandez-Moreno1 Department of Neurology, Hospital de Valme, University of Seville, 41014 Seville, Spain Department of Neurology, Hospital de Valme, University of Seville, 41014 Seville, SpainHypertension is the most important potentially reversible risk factor for stroke in all age groups; high blood pressure (BP) is also associated with increased risk of recurrent stroke in patients who have already had an ischemic or hemorrhagic event. Twenty-four hour ambulatory BP monitoring (ABPM) has become an important tool for improving the diagnosis and management of hypertension, and is increasingly used to assess patients with hypertension. Nevertheless, although ABPM devices are increasingly used for assessment of hypertension, their value in the chronic management of hypertension in patients with stroke has not been systematically studied. In fact, among large-scale randomized trials for secondary stroke prevention, only the Morbidity and Mortality After Stroke, Eprosartan Compared With Nitrendipine for Secondary Prevention trial included 24-hour ABPM. ABPM has demonstrated chronic disruption of the circadian rhythm of BP after acute phase of stroke and has shown higher sensitivity compared to office BP in evaluating the effectiveness of antihypertensive treatment among stroke survivors. High 24-hour BP is an independent predictor for cerebrovascular events, brain microbleeds, and subsequent development of dementia. Nevertheless, although stroke care guidelines endorse the importance of hypertension management, the specific role of ABPM among stroke survivors after the acute phase of disease has not been established. Further studies are needed to clarify whether routine application of ABPM among these patients should be recommended.http://www.j-stroke.org/upload/pdf/jos-2015-01102.pdfambulatory blood pressure monitoringblood pressurehypertensionstrokesecondary prevention |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Luis Castilla-Guerra Maria del Carmen Fernandez-Moreno |
spellingShingle |
Luis Castilla-Guerra Maria del Carmen Fernandez-Moreno Chronic Management of Hypertension after Stroke: The Role of Ambulatory Blood Pressure Monitoring Journal of Stroke ambulatory blood pressure monitoring blood pressure hypertension stroke secondary prevention |
author_facet |
Luis Castilla-Guerra Maria del Carmen Fernandez-Moreno |
author_sort |
Luis Castilla-Guerra |
title |
Chronic Management of Hypertension after Stroke: The Role of Ambulatory Blood Pressure Monitoring |
title_short |
Chronic Management of Hypertension after Stroke: The Role of Ambulatory Blood Pressure Monitoring |
title_full |
Chronic Management of Hypertension after Stroke: The Role of Ambulatory Blood Pressure Monitoring |
title_fullStr |
Chronic Management of Hypertension after Stroke: The Role of Ambulatory Blood Pressure Monitoring |
title_full_unstemmed |
Chronic Management of Hypertension after Stroke: The Role of Ambulatory Blood Pressure Monitoring |
title_sort |
chronic management of hypertension after stroke: the role of ambulatory blood pressure monitoring |
publisher |
Korean Stroke Society |
series |
Journal of Stroke |
issn |
2287-6391 2287-6405 |
publishDate |
2016-01-01 |
description |
Hypertension is the most important potentially reversible risk factor for stroke in all age groups; high blood pressure (BP) is also associated with increased risk of recurrent stroke in patients who have already had an ischemic or hemorrhagic event. Twenty-four hour ambulatory BP monitoring (ABPM) has become an important tool for improving the diagnosis and management of hypertension, and is increasingly used to assess patients with hypertension. Nevertheless, although ABPM devices are increasingly used for assessment of hypertension, their value in the chronic management of hypertension in patients with stroke has not been systematically studied. In fact, among large-scale randomized trials for secondary stroke prevention, only the Morbidity and Mortality After Stroke, Eprosartan Compared With Nitrendipine for Secondary Prevention trial included 24-hour ABPM. ABPM has demonstrated chronic disruption of the circadian rhythm of BP after acute phase of stroke and has shown higher sensitivity compared to office BP in evaluating the effectiveness of antihypertensive treatment among stroke survivors. High 24-hour BP is an independent predictor for cerebrovascular events, brain microbleeds, and subsequent development of dementia. Nevertheless, although stroke care guidelines endorse the importance of hypertension management, the specific role of ABPM among stroke survivors after the acute phase of disease has not been established. Further studies are needed to clarify whether routine application of ABPM among these patients should be recommended. |
topic |
ambulatory blood pressure monitoring blood pressure hypertension stroke secondary prevention |
url |
http://www.j-stroke.org/upload/pdf/jos-2015-01102.pdf |
work_keys_str_mv |
AT luiscastillaguerra chronicmanagementofhypertensionafterstroketheroleofambulatorybloodpressuremonitoring AT mariadelcarmenfernandezmoreno chronicmanagementofhypertensionafterstroketheroleofambulatorybloodpressuremonitoring |
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