2021 Taiwan Stroke Society Guidelines of blood pressure control for ischemic stroke prevention

Nai-Fang Chi; Chih-Ping Chung; Hao-Ming Cheng; Chi-Hung Liu; Chun-Jen Lin; Li-Chi Hsu; Sung-Chun Tang; Jiunn-Tay Lee; Helen L Po; Jiann-Shing Jeng; Tzung-Dau Wang; I-Hui Lee; Taiwan Stroke Society Guideline Consensus Group

doi:10.1097/JCMA.0000000000000738

2021 Taiwan Stroke Society Guidelines of blood pressure control for ischemic stroke prevention

J Chin Med Assoc. 2022 Jun 1;85(6):651-664. doi: 10.1097/JCMA.0000000000000738. Epub 2022 Jun 10.

Authors

Nai-Fang Chi^{1

2}, Chih-Ping Chung^{1

2}, Hao-Ming Cheng^{3

4

5}, Chi-Hung Liu⁶, Chun-Jen Lin^{1

2}, Li-Chi Hsu^{1

2}, Sung-Chun Tang⁷, Jiunn-Tay Lee⁸, Helen L Po⁹, Jiann-Shing Jeng⁷, Tzung-Dau Wang¹⁰, I-Hui Lee^{1

2}; Taiwan Stroke Society Guideline Consensus Group

Affiliations

¹ Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
² Department of Neurology in School of Medicine, National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan, ROC.
³ Center for Evidence-based Medicine & Division of Cardiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
⁴ Department of Medicine, National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan, ROC.
⁵ Institute of Public Health, National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan, ROC.
⁶ Department of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan, ROC.
⁷ Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan, ROC.
⁸ Department of Neurology, Tri-Service General Hospital, Taipei, Taiwan, ROC.
⁹ Department of Neurology, Mackay Memorial Hospital, Taipei, Taiwan, ROC.
¹⁰ Department of Cardiology, National Taiwan University, Taipei, Taiwan, ROC.

PMID: 35507097
DOI: 10.1097/JCMA.0000000000000738

Abstract

Background: Since the publication of the 2015 Taiwan Stroke Society Blood Pressure for Treatment and Prevention of Stroke Guideline (2015 TSS BP Guideline), several new clinical studies have addressed whether a stricter blood pressure (BP) target would be effective for stroke prevention.

Methods: TSS guideline consensus group provides recommendations on BP targets for stroke prevention based on updated evidences.

Results: The present guideline covers five topics: (1) diagnosis of hypertension; (2) BP control and primary prevention of ischemic stroke; (3) BP control and secondary prevention of ischemic stroke; (4) BP control and secondary prevention of large artery atherosclerosis ischemic stroke; and (5) BP control and secondary prevention of small vessel occlusion ischemic stroke.

Conclusion: The BP target for most stroke patients with hypertension is <130/80 mm Hg.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Antihypertensive Agents
Blood Pressure
Humans
Hypertension* / complications
Hypertension* / drug therapy
Ischemic Stroke*
Stroke* / complications
Stroke* / prevention & control
Taiwan

Substances

Antihypertensive Agents