降低血压对中风的二级预防

S. Funakoshi, Miki Kawazoe, Kazuhiro Tada, Makiko Abe, H. Arima
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引用次数: 0

摘要

高血压是卒中最重要的可改变危险因素之一,据估计,超过50%的卒中事件可归因于血压升高。随机试验和荟萃分析表明,降低血压是预防卒中复发最有效和最普遍的策略。根据现有的证据,在慢性卒中后阶段,所有患者的血压应降至140/90 mmHg以下,在耐受良好的情况下应降至130/80 mmHg以下。
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Blood Pressure Lowering for the Secondary Prevention of Stroke
Abstract Hypertension is one of the most important modifiable risk factors for stroke, and greater than 50% of all stroke events are estimated to be attributable to elevated blood pressure (BP). Randomized trials and meta-analyses have demonstrated that reducing BP is the most effective and generalizable strategy for preventing recurrent stroke. Based on currently available evidence, BP should be reduced to below 140/90 mmHg in all patients during the chronic post-stroke phase and to below 130/80 mmHg when well-tolerated.
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