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Three risk factors — high blood pressure, smoking and atrial fibrillation (which is an irregular heart rhythm) were linked with higher risk of severe compared to mild-moderate stroke,” said Dr ...
High blood pressure accounts for 35–50% of stroke risk. [110] Blood pressure reduction of 10 mmHg systolic or 5 mmHg diastolic reduces the risk of stroke by ~40%. [111] Lowering blood pressure has been conclusively shown to prevent both ischemic and hemorrhagic stroke. [112] [113] It is equally important in secondary prevention. [114]
New research suggests even just a bump of 10 mmHg over normal levels of systolic blood pressure can increase risk of stroke by 20%.
Blood pressure targets [7] <1 hr 25% reduction in the mean arterial pressure, diastolic blood pressure above 100 2-6 hr Systolic BP < 160 mmHg or Diastolic BP <110 mmHg 6-24 hr monitor BP targets, ensure non-rapid drop in BPs below 160 SBP or 100 DBP 1-2 d if no end-organ damage, monitor out-patient and JNC8 Guidelines for maintaining BP control
About 70% of patients with recent ischemic stroke are found to have hypertension, defined as systolic blood pressure (SBP) > 140 mmHg, or diastolic blood pressure (DBP) > 90 mmHg. [21] Until the first half of the 2010s, blood pressure goals have generally been SBP < 140 mmHg and DBP < 90 mmHg. [21]
Among the group with an average systolic blood pressure of less than 140 mmHg, those with the greatest variability were 16% more likely to have a heart attack or stroke.
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