Ann Hypertens | Volume 1, Issue 1 | Review Article | Open Access

Management of Acute Hypertension in Cerebrovascular Accidents

Abbas Alshami1, Carlos Romero1, America Avila1 and Joseph Varon2*

1Dorrington Medical Associates, USA
2Department of Medicine, The University of Texas Health Science Center at Houston, USA

*Correspondance to: Joseph Varon 

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Cerebrovascular Accidents (CVA) are commonly associated with acute rise in Blood Pressure (BP). This rise in BP is associated with worse outcomes. However, reduction to the normal range is not simply the solution, because elevated pressure may be necessary and protective to maintain the cerebral perfusion. Efforts have been made to determine the target BP in different CVAs, and the appropriate regimen to achieve the best outcomes. Determination of the type of CVA by neuroimaging is crucial and guides further management. Blood pressure control in hemorrhagic CVA should be rapid, while, in ischemic CVA, is usually more insidious.


Acute ischemic stroke; Hemorrhagic stroke; Cerebrovascular accident; Hypertension; Hypertensive encephalopathy; Labetalol; Nicardipine


Alshami A, Romero C, Avila A, Varon J. Management of Acute Hypertension in Cerebrovascular Accidents. Ann Hypertens. 2018;1(1):1002.

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