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Hypertension and Stroke pp 179–196Cite as

Acute Blood Pressure Management After Intracerebral Hemorrhage

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Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

Abstract

Hypertension is the most common risk factor for intracerebral hemorrhage and the majority of patients with intracerebral hemorrhage are hypertensive on presentation. While long-term control of elevated blood pressure has been proven to improve outcomes in this condition, the short-term management of hypertension has generated controversy. Recent clinical trials have shown that aggressive blood pressure reduction in intracerebral hemorrhage appears to be safe, however, in practice, it is difficult to achieve. Moreover, aggressive blood pressure reduction has not been definitively proven to decrease hematoma expansion or lower mortality after cerebral hemorrhage. Ongoing clinical trials with earlier initiation of therapy and more effective antihypertensive therapy might help clarify whether early aggressive blood reduction in intracerebral hemorrhage improves overall outcomes.

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Authors and Affiliations

  1. Departments of Neurological Surgery and Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA

    Venkatesh Aiyagari M.B.B.S., D.M.

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  1. Venkatesh Aiyagari M.B.B.S., D.M.
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Correspondence to Venkatesh Aiyagari M.B.B.S., D.M. .

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  1. Departments of Neurological Surgery and Neurology and Neurotherapeutics , University of Texas Southwestern Medical Center , Dallas, Texas, USA

    Venkatesh Aiyagari

  2. Michigan State University Department of Translational Science & Molecular Medicine, Mercy Health Hauenstein Neurosciences, Grand Rapids, Michigan, USA

    Philip B. Gorelick

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Aiyagari, V. (2016). Acute Blood Pressure Management After Intracerebral Hemorrhage. In: Aiyagari, V., Gorelick, P. (eds) Hypertension and Stroke. Clinical Hypertension and Vascular Diseases. Humana Press, Cham. https://doi.org/10.1007/978-3-319-29152-9_10

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  • DOI: https://doi.org/10.1007/978-3-319-29152-9_10

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