Blood pressure high for years? Beware of stroke risk
Science Daily - Heart Disease
JULY 23, 2024
Years of high systolic blood pressure are linked to a greater risk for the two most common types of stroke.
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Very early blood pressure control confers both benefits and harms in acute stroke
Science Daily - Stroke
MAY 16, 2024
Early identification of stroke type could be key to harnessing the benefits of very early in-ambulance blood pressure lowering treatment in patients with suspected acute stroke, according to new research.
Which risk factors are linked to having a severe stroke?
Science Daily - Heart Disease
NOVEMBER 13, 2024
People with conditions or habits such as high blood pressure, an irregular heartbeat called atrial fibrillation, or smoking, not only have a higher risk of stroke, they may also have more severe strokes than people without these risk factors.
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Black women with high blood pressure before age 35 may have triple the risk of a stroke
American Heart News - Stroke News
FEBRUARY 1, 2024
Research Highlights: Black women who develop high blood pressure before age 35 may have triple the odds of having a stroke, and those who develop high blood pressure before age 45 may have twice the risk of suffering a subsequent stroke. The findings,
Black women with high blood pressure before age 35 may have triple the risk of a stroke
Medical Xpress - Cardiology
FEBRUARY 1, 2024
Black women who develop high blood pressure before age 35 and are on medication for hypertension may have triple the odds of having a stroke, and those who develop high blood pressure before age 45 may have twice the risk of suffering a stroke, according to a preliminary study to be presented at the American Stroke Association's International Stroke (..)
Blood pressure should be measured lying down: study
American Heart News - Stroke News
SEPTEMBER 11, 2023
An analysis of data from a long-running study of more than 11,000 adults from four diverse communities in the United States has found that adults who had high blood pressure while both seated upright and lying supine (flat on their backs) had a higher risk of heart disease, stroke, heart failure or premature death compared to adults without high blood (..)
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Those with stroke risk factors may be more likely to have severe strokes
Medical Xpress - Cardiology
NOVEMBER 13, 2024
People with conditions or habits such as high blood pressure, an irregular heartbeat called atrial fibrillation, or smoking, not only have a higher risk of stroke, they may also have more severe strokes than people without these risk factors, according to a study published in the journal Neurology.
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Fourth Intensive Ambulance-Delivered Blood Pressure Reduction in Hyper-Acute Stroke Trial
American College of Cardiology
MAY 21, 2024
The goal of the INTERACT4 trial was to determine the effect of prehospital treatment of elevated systolic blood pressure (SBP) in patients with recent onset of symptoms concerning for acute stroke.
Blood pressure variability is a major predictor of heart attack and stroke risk, finds analysis
Medical Xpress - Cardiology
JANUARY 31, 2024
Changes to blood pressure over time could be used to identify patients at greatest risk of heart attack and stroke. These are the findings of a new analysis from the ASCOT study, led by researchers from Imperial College London and published in the European Heart Journal.
Spironolactone, a blood pressure medication, may help reduce risk of new heart failure
American Heart News - Heart News
NOVEMBER 17, 2024
Research Highlights: The CLEAR SYNERGY trial found that spironolactone may reduce the risk of new or worsening heart failure; however, it did not significantly impact the rate of death, new heart attack or stroke. More research is needed to further.
Why Your Blood Pressure Probably Isn't Normal & What You Need To Do About It.
Dr. Paddy Barrett
JULY 5, 2024
We do a terrible job of identifying and managing high blood pressure. And we still do an awful job of identifying and managing high blood pressure. As a risk factor for death, high blood pressure is responsible for more deaths than any other risk factor, including smoking. What Is Normal Blood Pressure?
One Injection of Novel Drug Cuts Systolic Blood Pressure by Up to 12 mmHg
DAIC
APRIL 7, 2024
Akshay Desai, MD “Compared to placebo, a single injection of zilebesiran resulted in clinically meaningful reductions in blood pressure at three months when added to commonly used antihypertensive treatments,” said Akshay Desai, MD, MPH , a cardiologist at Brigham and Women’s Hospital in Boston and a study coauthor. “In
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New Study Reveals 65 and Older Population Lowered Blood Pressure, Cholesterol, and Weight Using Mobile Technology
DAIC
APRIL 24, 2024
Eighty percent of heart attacks and strokes are preventable. partially because its key risk factor, high blood pressure, is a ‘silent killer,’ and most patients have no symptoms before their first heart attack or stroke. The monitor and app recorded blood pressure, heart rate, and the appearance of irregular heartbeat.
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More than half a million global stroke deaths may be tied to climate change
Science Daily - Stroke
APRIL 10, 2024
A changing climate may be linked to growing death and disability from stroke in regions around the world, according to a new study. Researchers found over three decades that non-optimal temperatures, those above or below temperatures associated with the lowest death rates, were increasingly linked to death and disability due to stroke.
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Correspondence: Prevention of stroke
The British Journal of Cardiology
SEPTEMBER 6, 2024
Dear Sirs, In the recent article ‘Drug therapies for stroke prevention’, under the heading entitled ‘Control of blood pressure’, the authors specified that “A systolic blood pressure (SBP) target of 120–129 mmHg should be routinely aimed for in those <65 years old….”.
HonorHealth Research Institute Study Uses New Programing for Pacemakers to Control High Blood Pressure Without Additional Drugs
DAIC
JUNE 20, 2024
milla1cf Thu, 06/20/2024 - 19:40 June 20, 2024 — A programing algorithm, being tested by HonorHealth Research Institute for those patients with new or recently installed pacemakers, is designed so the device not only provides a steady heartbeat, but also controls high blood pressure.
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Intensive Blood Pressure Treatment Shows Benefits for High-Risk Patients
Cardiology Update
JULY 22, 2024
A study published in The Lancet reveals that targeting a systolic blood pressure of less than 120 mm Hg significantly reduces cardiovascular events in high-risk patients, compared to the standard target of less than 140 mm Hg. Key Findings – Blood Pressure Levels: The mean systolic blood pressure during follow-up was 119.1
Twenty-four-hour blood pressure trajectories and clinical outcomes in patients who had an acute ischaemic stroke
Heart BMJ
MAY 10, 2024
Objective The management of blood pressure (BP) in acute ischaemic stroke remains a subject of controversy. This investigation aimed to explore the relationship between 24-hour BP patterns following ischaemic stroke and clinical outcomes.
Global burden of stroke attributable to high systolic blood pressure in 204 countries and territories, 1990–2019
Frontiers in Cardiovascular Medicine
APRIL 26, 2024
ResultsGlobally, 52.57% of deaths and 55.54% of DALYs from stroke were attributable to HSBP in 2019, with higher levels in men; the ASMRs and ASDRs in 1990–2019 experienced a decline of 34.89% and 31.71%, respectively, with the highest ASMR- and ASDR-related EAPCs in women.
Blood Pressure Trajectories and Outcomes After Endovascular Thrombectomy for Acute Ischemic Stroke
Hypertension Journal
JANUARY 2, 2024
BACKGROUND:Data on systolic blood pressure (SBP) trajectories in the first 24 hours after endovascular thrombectomy (EVT) in acute ischemic stroke are limited. We used group-based trajectory analysis to identify the number and shape of SBP trajectories post-EVT. 2.82]), intracranial hemorrhage (aOR, 1.84 [95% CI, 1.31–2.59]),
Analysis forecasts more heart attacks and strokes under the new cardiovascular risk calculator tool
Medical Xpress - Cardiology
JULY 29, 2024
A recently unveiled cardiovascular disease risk calculator that measures a patient's risk for heart attack and stroke is better calibrated and more precise than its previous version, but if current treatment guidelines for cholesterol and blood pressure therapy remain unchanged, the new calculator may have unintended consequences, according to research (..)
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Decoding the Optimal Blood Pressure: Is Yours on Target?
Dr. Paddy Barrett
JANUARY 2, 2024
“What should my blood pressure be?” The US President, Franklin D Roosevelt, had his blood pressure tracked throughout his term in office, and the numbers are pretty stark. Shortly before he died, his blood pressure was measured at 350/195 mmHg 1. Just good blood pressure control.
Influence of Time to Achieve Target Systolic Blood Pressure on Outcome After Intracerebral Hemorrhage: The Blood Pressure in Acute Stroke Collaboration
Stroke Journal
FEBRUARY 27, 2024
Stroke, Ahead of Print. Time was defined as time form symptom onset plus the time (hour) to first achieve and subsequently maintain SBP at 120 to 140 mm Hg over 24 hours. The primary outcome was functional status measured by the modified Rankin Scale at 90 to 180 days. SD, 13.0], 2120 [36.8%] females) were included in analyses.
Abstract WP282: Association of Very Short Interval Blood Pressure Variability With Stroke
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWP282-AWP282, February 1, 2024. Background:While blood pressure variability (BPV) is associated with poor cardiovascular outcomes, the relationship between BPV obtained in a very short interval and stroke is unknown. Up to 5% (487 patients) had a history of stroke.
New Blood Pressure Target For Individuals at High Risk
American College of Cardiology
NOVEMBER 5, 2024
Cardiovascular disease (CVD), specifically ischemic heart disease, stroke, and heart failure, is the leading cause of death worldwide.
Study: Young Athletes at Risk for Elevated Blood Pressure Rates, Future Cardiovascular Complications
DAIC
JUNE 6, 2024
High blood pressure, also known as hypertension, occurs in 47% of adults in the U.S., Over time, hypertension weakens the heart, blood vessels and kidneys, paving the way for potential stroke or heart attack. The study highlights the importance of recognizing and addressing elevated blood pressure in young athletes.
Heart Disease and Stroke Could Affect at Least 60% of Adults in U.S. by 2050, According to American Heart Association Advisories
DAIC
JUNE 18, 2024
A projected rise in heart disease and stroke – along with several key risk factors, including high blood pressure and obesity – is likely to triple related costs to $1.8 According to their projections, from 2020 to 2050, high blood pressure is expected to rise from 51.2% This includes a doubling of stroke rates.
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SHINE Trial Sheds Light on Deadly Stroke Complication
DAIC
MAY 14, 2024
UVA Health's Karen Johnston, MD, the SHINE trial leader, was pleased to see the new insights into best practices for stroke care. These data from the SHINE trial continue to inform the national stroke community about potential approaches to treating hyperglycemic stroke patients to assure better outcomes,” she said.
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Study indicates the rapid identification of stroke type is key to improving outcomes
Medical Xpress - Cardiology
MAY 16, 2024
Early identification of stroke type could be key to harnessing the benefits of very early in-ambulance blood pressure lowering treatment in patients with suspected acute stroke, according to new research.
Abstract WP210: Intensive vs. Conventional Blood Pressure Management After Thrombectomy for Acute Ischemic Stroke: Systemic Review and Meta-Analysis of Randomized Controlled Trials
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWP210-AWP210, February 1, 2024. Background:Optimal Blood pressure management after thrombectomy for acute ischemic stroke and its association with clinical outcomes remains unclear. There were comparable rates of sICH (OR 1.12, 95% CI 0.75-1.67;
Abstract 137: Post-Stroke Blood Pressure Control and Follow Up Care in Real-World Setting
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page A137-A137, February 1, 2024. Introduction:Within 5 years of a stroke, approximately 25% of patients will have a recurrent event. Blood pressure (BP) reduction can reduce this risk; every 10 mmHg decrease in systolic BP is associated with a 20% risk reduction.
Five reasons your blood pressure medication isn't working
Medical Xpress - Cardiology
MAY 1, 2024
Keeping your blood pressure in check is a good way to lower your risk of heart disease, stroke, and kidney disease. So, you follow orders, take your prescribed medication, and proudly accept your doctor's praise when the blood pressure cuff demonstrates continued success. Until it doesn't.
Abstract WMP104: Influence of Living Arrangements and Within Household Communications on Blood Pressure Control Among Stroke Patients
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWMP104-AWMP104, February 1, 2024. Introduction:Social support plays a vital role in shaping health behaviors and may impact disease outcomes such as blood pressure (BP) control.
Prehospital Hypertension Control No Help in Unselected Acute Stroke
Med Page Today
MAY 16, 2024
(MedPage Today) -- Bringing blood pressure under control in the ambulance didn't improve stroke outcomes in an unselected population, the China-based INTERACT 4 trial showed. Functional outcome measured by the modified Rankin Scale was no better.
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Efficacy of Immediate Antihypertensive Treatment in Patients With Acute Ischemic Stroke With Different Blood Pressure Genetic Variants
Hypertension Journal
JANUARY 4, 2024
Background:It remains unclear whether blood pressure (BP) genetic variants could modify the efficacy of immediate antihypertensive treatment after acute ischemic stroke. Hypertension, Ahead of Print. Randomization was conducted centrally and was stratified by participating hospitals and use of antihypertensive medications.
Abstract WP240: Long Term Impact of the Los Angeles Barbershop Blood Pressure Study on Stroke/TIA and Cognitive Impairment
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWP240-AWP240, February 1, 2024. Background:Individuals with poorly controlled blood pressure (BP) have a heightened risk of stroke and vascular cognitive impairment. BP reduction has been associated with reduced risk of future stroke and cognitive impairment.
Is Your Patient Married? Check Their Spouse's Blood Pressure, Too
Med Page Today
DECEMBER 18, 2023
(MedPage Today) -- Hypertension, the leading cause of death from heart disease and stroke both in the U.S. and worldwide, presents significant public health challenges. Globally, many health systems are individual-focused. This means that health.
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All About Cardiovascular System and Disorders
MAY 1, 2024
Guidelines on hypertension (high blood pressure) generally recommend measurement of blood pressure in both arms in the initial visit. They also suggest that the arm with higher blood pressure recording should be used to record blood pressure in subsequent visits.
Relation Between Stroke and Heart Disease
All About Cardiovascular System and Disorders
APRIL 21, 2024
Stroke is often due to sudden loss of blood supply to a region of the brain which usually results in paralysis of a part of the body. Stroke could also be due to bleeding into a part of the brain. Strokes and heart disease are linked together in various ways. Stroke can occur after a heart attack as well.
Cluster of slightly unhealthy traits linked with earlier heart attack and stroke
Science Daily - Stroke
AUGUST 25, 2023
Middle-aged adults with three or more unhealthy traits including slightly high waist circumference, blood pressure, cholesterol and glucose have heart attacks and strokes two years earlier than their peers, according to new research.
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Efficacy of beta-blockers on blood pressure control and morbidity and mortality endpoints in hypertensives of African ancestry: an individual patient data meta-analysis
Frontiers in Cardiovascular Medicine
JANUARY 22, 2024
Introduction Compared with first-line antihypertensives, beta-blockers (BB) have been reported to lower the central aortic blood pressure suboptimally and are associated with increased stroke risk. Second- or third-generation beta-blockers reduced the mean arterial pressure by 1.75 mmHg [95% confidence interval (CI):1.16–2.33;
Lowering Blood Pressure in Stroke Patients in the Ambulance — A Bridge Too Close?
The New England Journal of Medicine
MAY 15, 2024
In The Prince, Niccolò Machiavelli wrote, “[W]ith those hectic fevers, as the doctors say, … at their beginning [they] are easy to cure but difficult to recognize, but in the course of time… [they] become easy to recognize but difficult to cure.”1 1 As with Renaissance politics,
Influence of Baseline Diastolic Blood Pressure on the Effects of Intensive Blood Pressure Lowering: Results From the STEP Randomized Trial
Hypertension Journal
OCTOBER 10, 2023
BACKGROUND:The STEP (Strategy of Blood Pressure Intervention in the Elderly Hypertensive Patients) trial demonstrated that intensive systolic blood pressure (SBP) lowering has cardiovascular benefits. Hypertension, Volume 80, Issue 12 , Page 2572-2580, December 1, 2023. years, and 46.5% were men.
Standard Versus Individualized Blood Pressure Targets During Thrombectomy: A Randomized Controlled Pilot Trial
Stroke: Vascular and Interventional Neurology
OCTOBER 4, 2023
Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 2023. BackgroundThe optimal blood pressure management strategy in patients undergoing endovascular therapy for acute ischemic stroke is unknown. Median (interquartile range) National institutes of Health Stroke Scale score was 15 (10–18).
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