Hypertension in acute ischaemic stroke: to treat or not to treat.

@article{Popa1994HypertensionIA,
  title={Hypertension in acute ischaemic stroke: to treat or not to treat.},
  author={Gabriela Popa and I Jipescu},
  journal={Romanian journal of neurology and psychiatry = Revue roumaine de neurologie et psychiatrie},
  year={1994},
  volume={32 3},
  pages={135-40}
}
The reasons for not treating hypertension could be the risk of reducing cerebral blood flow (CBF) which may induce additional cerebral damage in the so-called ischaemic "penumbra". Hypertensive patients have altered autoregulation. A severe hypertension (over 230/120 mmHg) may lead to further damage by cerebral edema which asks for antihypertensive therapy. An antihypertensive therapy was applied in 81 patients within the 72 hours interval from acute ischaemic stroke (AIS) onset. In 42 patients… CONTINUE READING