Management of Chronic Hypertension Following Intracerebral Hemorrhage

Edward Van Matre, Aaron M. Cook, Samarth P. Shah, Alexandria C. Rydz, Keaton S. Smetana

Research output: Contribution to journalReview article

Abstract

Acute blood pressure control after a cerebrovascular event is integral in the immediate care of these patients to preserve perfusion to ischemic areas and prevent intracerebral bleeding. The majority of patients with ischemic stroke or intracerebral hemorrhage (ICH) present with preexisting hypertension and therefore require a treatment plan after the acute phase. The presence of chronic hypertension after ICH has often been discussed as a modifiable risk factor for recurrent events. Clinical evidence is relatively lacking for clinicians to understand the extent of blood pressure lowering and the optimal agents to use in this setting. Limited data exist describing the long-term management of hypertension in patients after cerebrovascular events. This review provides nurses with a summary of the available literature on long-term blood pressure management to minimize the risk of secondary ICH and ischemic stroke. It focuses on oral antihypertensive medications available in the United States that may be utilized to manage chronic hypertension immediately after the postacute phase of care to lower blood pressure and to improve long-term outcomes.

Original languageEnglish (US)
Pages (from-to)148-164
Number of pages17
JournalCritical Care Nursing Quarterly
Volume42
Issue number2
DOIs
StatePublished - Apr 1 2019

Fingerprint

Cerebral Hemorrhage
Blood Pressure
Hypertension
Subacute Care
Stroke
Antihypertensive Agents
Patient Care
Perfusion
Nurses
Hemorrhage
Therapeutics

All Science Journal Classification (ASJC) codes

  • Critical Care

Cite this

Management of Chronic Hypertension Following Intracerebral Hemorrhage. / Van Matre, Edward; Cook, Aaron M.; Shah, Samarth P.; Rydz, Alexandria C.; Smetana, Keaton S.

In: Critical Care Nursing Quarterly, Vol. 42, No. 2, 01.04.2019, p. 148-164.

Research output: Contribution to journalReview article

Van Matre, Edward ; Cook, Aaron M. ; Shah, Samarth P. ; Rydz, Alexandria C. ; Smetana, Keaton S. / Management of Chronic Hypertension Following Intracerebral Hemorrhage. In: Critical Care Nursing Quarterly. 2019 ; Vol. 42, No. 2. pp. 148-164.
@article{4a726aac584e43cd9a274a48c3da21dc,
title = "Management of Chronic Hypertension Following Intracerebral Hemorrhage",
abstract = "Acute blood pressure control after a cerebrovascular event is integral in the immediate care of these patients to preserve perfusion to ischemic areas and prevent intracerebral bleeding. The majority of patients with ischemic stroke or intracerebral hemorrhage (ICH) present with preexisting hypertension and therefore require a treatment plan after the acute phase. The presence of chronic hypertension after ICH has often been discussed as a modifiable risk factor for recurrent events. Clinical evidence is relatively lacking for clinicians to understand the extent of blood pressure lowering and the optimal agents to use in this setting. Limited data exist describing the long-term management of hypertension in patients after cerebrovascular events. This review provides nurses with a summary of the available literature on long-term blood pressure management to minimize the risk of secondary ICH and ischemic stroke. It focuses on oral antihypertensive medications available in the United States that may be utilized to manage chronic hypertension immediately after the postacute phase of care to lower blood pressure and to improve long-term outcomes.",
author = "{Van Matre}, Edward and Cook, {Aaron M.} and Shah, {Samarth P.} and Rydz, {Alexandria C.} and Smetana, {Keaton S.}",
year = "2019",
month = "4",
day = "1",
doi = "10.1097/CNQ.0000000000000248",
language = "English (US)",
volume = "42",
pages = "148--164",
journal = "Critical Care Nursing Quarterly",
issn = "0887-9303",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Management of Chronic Hypertension Following Intracerebral Hemorrhage

AU - Van Matre, Edward

AU - Cook, Aaron M.

AU - Shah, Samarth P.

AU - Rydz, Alexandria C.

AU - Smetana, Keaton S.

PY - 2019/4/1

Y1 - 2019/4/1

N2 - Acute blood pressure control after a cerebrovascular event is integral in the immediate care of these patients to preserve perfusion to ischemic areas and prevent intracerebral bleeding. The majority of patients with ischemic stroke or intracerebral hemorrhage (ICH) present with preexisting hypertension and therefore require a treatment plan after the acute phase. The presence of chronic hypertension after ICH has often been discussed as a modifiable risk factor for recurrent events. Clinical evidence is relatively lacking for clinicians to understand the extent of blood pressure lowering and the optimal agents to use in this setting. Limited data exist describing the long-term management of hypertension in patients after cerebrovascular events. This review provides nurses with a summary of the available literature on long-term blood pressure management to minimize the risk of secondary ICH and ischemic stroke. It focuses on oral antihypertensive medications available in the United States that may be utilized to manage chronic hypertension immediately after the postacute phase of care to lower blood pressure and to improve long-term outcomes.

AB - Acute blood pressure control after a cerebrovascular event is integral in the immediate care of these patients to preserve perfusion to ischemic areas and prevent intracerebral bleeding. The majority of patients with ischemic stroke or intracerebral hemorrhage (ICH) present with preexisting hypertension and therefore require a treatment plan after the acute phase. The presence of chronic hypertension after ICH has often been discussed as a modifiable risk factor for recurrent events. Clinical evidence is relatively lacking for clinicians to understand the extent of blood pressure lowering and the optimal agents to use in this setting. Limited data exist describing the long-term management of hypertension in patients after cerebrovascular events. This review provides nurses with a summary of the available literature on long-term blood pressure management to minimize the risk of secondary ICH and ischemic stroke. It focuses on oral antihypertensive medications available in the United States that may be utilized to manage chronic hypertension immediately after the postacute phase of care to lower blood pressure and to improve long-term outcomes.

UR - http://www.scopus.com/inward/record.url?scp=85062287560&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062287560&partnerID=8YFLogxK

U2 - 10.1097/CNQ.0000000000000248

DO - 10.1097/CNQ.0000000000000248

M3 - Review article

C2 - 30807339

AN - SCOPUS:85062287560

VL - 42

SP - 148

EP - 164

JO - Critical Care Nursing Quarterly

JF - Critical Care Nursing Quarterly

SN - 0887-9303

IS - 2

ER -