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pubmed-article:9684431pubmed:abstractTextInappropriate management of high blood pressure in acute stroke can adversely affect outcome. We examined blood pressure evaluation and antihypertensive therapy during the first week post-stroke in 40 patients at a district general hospital with no stroke unit. In the first 24 hours, median frequency of blood pressure recording was 3 (range 1-12). After day 1, 11 (28%) had no blood pressure readings for one or two consecutive days. The side of measurement was not recorded in any patient. None of the 22 hypertensives (55%) had a bilateral measurement to exclude interarm inequality, and only 3 (7%) of all patients had postural readings to exclude orthostatic hypotension. Fourteen (35%) received antihypertensive therapy without meeting recommended indications; some even had low blood pressure. As most stroke patients are managed in general medical wards rather than stroke units, a greater awareness of these important aspects of blood pressure evaluation and therapy are needed among medical and nursing staff.lld:pubmed
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pubmed-article:9684431pubmed:dateRevised2007-2-14lld:pubmed
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pubmed-article:9684431pubmed:articleTitleBlood pressure measurement and antihypertensive therapy in acute stroke.lld:pubmed
pubmed-article:9684431pubmed:affiliationElderly Care Department, Manor Hospital, Walsall, Staffs, UK.lld:pubmed
pubmed-article:9684431pubmed:publicationTypeJournal Articlelld:pubmed
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