Study questions blood pressure lowering in stroke patients

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A new study by Dr. Eva Mistry from the University of Cincinnati and UC Health suggests that the common practice of lowering systolic blood pressure in patients after a stroke might need reevaluation.

Healthcare providers often lower systolic blood pressure in patients who’ve had an ischemic stroke, where a clot blocks blood flow to the brain.

This is generally done to manage the patient’s condition and prevent further complications.

The Study’s Focus and Findings

The research centered on patients who had undergone endovascular thrombectomy, a procedure to remove clots from the brain’s blood vessels.

Despite the procedure’s success in stroke care, many patients still face disability or death shortly after treatment.

The study included 120 patients and aimed to determine if lowering blood pressure after clot removal was helpful or harmful.

While high systolic blood pressure post-procedure has been associated with increased disability, this study found only a slight benefit to lowering it.

A Call for Caution and Personalized Care

Contrary to expectations, the findings did not show that lowering systolic blood pressure increased stroke size or disability. In fact, there was a small suggestion it might make long-term disability worse.

Dr. Mistry recommends that blood pressure should be self-regulated after the thrombectomy, and any interventions should be tailored to the individual rather than applied universally.

For example, some patients might need blood pressure management due to other health issues or signs of bleeding in the brain.

The research was conducted at only three centers with a modest number of participants, meaning the results may not apply to all patient populations.

The study challenges the standard approach to blood pressure management after a stroke, highlighting the need for further research to identify the best strategies for post-endovascular treatment care.

Implications for Stroke Recovery

This research indicates that an individualized treatment plan may be more effective than a one-size-fits-all method for managing blood pressure after a stroke. It underscores the importance of personalized care in the recovery process.

In conclusion, while the intention behind lowering blood pressure after a stroke is to aid recovery, this study suggests that healthcare professionals should consider a more nuanced approach that accounts for individual patient needs.

For more information on managing blood pressure and overall health, studies on the benefits of natural remedies like prunes, beetroot juice, and cinnamon offer valuable insights. The full study details can be found in the journal JAMA.

If you care about stroke, please read studies that diets high in flavonoids could help reduce stroke risk, and MIND diet could slow down cognitive decline after stroke.

For more information about nutrition, please see recent studies about antioxidants that could help reduce the risk of dementia, and tea and coffee may help lower your risk of stroke, dementia.

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