How can blood pressure be lowered when acute cerebral infarction occurs?

*It is only for medical professionals to read and refer to the doctor's clinical decision-making is well-founded.

Hypertension is an important risk factor for stroke.
If patients with hypertension have cerebral infarction, they are prone to significantly increase blood pressure during the acute phase of the infarction.

However, in the face of such patients, doctors usually do not perform antihypertensive treatment.

The patient’s family members will be very anxious at this time and will not understand the doctor’s medication treatment.
Some patients will ask the doctor: “His blood pressure is over 180 mmHg, why don’t you lower his blood pressure?” Let’s talk about it today.
, Why do we generally do not recommend active blood pressure reduction in the face of patients with hypertension and cerebral infarction.

Because aggressively lowering blood pressure may reduce blood perfusion in the brain and aggravate cerebral ischemia.

Throughout domestic and foreign studies, there is no definite evidence that early active blood pressure reduction is beneficial to patients.

In the 24 hours of cerebral infarction, some patients have stressful blood pressure increase due to anxiety, physical pain, etc.
At this time, we need to comfort the patient and stabilize his emotions.

 Acute cerebral infarction is generally not treated for blood pressure, but if the patient's systolic blood pressure is> 220 mmHg or diastolic blood pressure> 120 mmHg, accompanied by myocardial ischemia, heart failure, renal insufficiency, arterial dissection, or other diseases such as thrombolytic therapy, It can be reduced.

In addition to the above factors, doctors must make specific analysis based on specific conditions.

In the face of patients with elevated intracranial pressure (often severe headache, nausea, vomiting, etc.
), blood pressure reduction treatment should be more cautious.

For patients who need thrombolytic therapy, the blood pressure before thrombolysis should be controlled relatively low and maintained within 185/100 mmHg to prevent bleeding caused by excessive blood pressure.

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☑ Is it normal to have a higher blood pressure when you are older? Team Introduction Shanghai Institute of Hypertension, Department of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Institute of Hypertension, is a hypertension professional institution established in 1958.
It relies on the diagnosis, treatment, scientific research and construction of Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine.
The subject of integrated teaching of hypertension provides diagnosis and treatment services for people in Shanghai, East China, and even all over the country for the diagnosis and treatment of hypertension, difficult, critical, severe, and miscellaneous diseases.

For more than 60 years, he has accumulated a wealth of clinical experience in the diagnosis and treatment of various types of refractory hypertension and secondary hypertension, and established a complete etiological screening, diagnosis, and treatment technology and norms for hypertension.

 The hypertension specialist outpatient clinic opened from Monday to Saturday treats more than 200,000 patients with hypertension from all over the country each year; there are a large number of hospitalized patients every year, and treatments such as surgery and catheter intervention to diagnose the cause of hypertension are not only effective for control Blood pressure has also achieved effective protection of target organs such as heart, brain and kidney, and effective prevention of complications such as stroke, myocardial infarction, heart failure, and renal insufficiency.

This article Source: Shanghai Jiaotong University Affiliated Ruijin Hospital audit experts: Dr.
Chen Xin, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, author: Ruijin Hospital Editor: Zhao Xing US copyright notice forwarded circle of friends are welcome to reprint this article - End -