Interní Med. 2006; 8(1): 14-17

Arterial hypertension and strokes

doc. MUDr. Jan Filipovský CSc

II. interní klinika LF UK a FN, Plzeň

Strokes are typical complications of long-lasting hypertension and the treatment of high blood pressure decreases their incidence significantly. In patients with high risk for cardiovascular events, combination therapy with lower doses of metabolically neutral medication, especially dihydropyrimidine type calcium blockers and ACE inhibitors, appears to be the most suitable. Beta-blockers seem to be less effective especially in elderly patients. In patients who already underwent the stroke the antihypertensive therapy lowers the probability of recurrence and it is also in those whose blood pressure is considered normal according to valid classification. The evidence for this treatment was gathered mainly for the combination of ACE inhibitor and a diuretic. We do not have definite evidence for the optimal management of acute stroke. However, radical blood pressure lowering is surely unsuitable. The use of small dose angiotensine II receptors blockers appears to be safe.

Keywords: Key words: strokes, primary prevention, hypertension after the stroke, management of acute stroke.

Published: March 1, 2006  Show citation