{"id":399,"date":"2014-06-05T03:25:17","date_gmt":"2014-06-05T03:25:17","guid":{"rendered":"https:\/\/blogs.bmj.com\/jnnp\/?p=399"},"modified":"2014-06-05T03:27:09","modified_gmt":"2014-06-05T03:27:09","slug":"reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/jnnp\/2014\/06\/05\/reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke\/","title":{"rendered":"Reduction in blood pressure: Does the J curve still talk??"},"content":{"rendered":"

A \u2018J-curve\u2019 association between blood pressure (BP) and stroke has been previously reported, whereby highest and the lowest BPs were associated with increased risks of recurrent stroke among patients with recent ischaemic stroke.\u00a0 Clearly, such a finding has management implications.\u00a0 In an upcoming issue of JNNP,\u00a0the PROGRESS Collaborative Group dismiss this myth.\u00a0 Namely, large reductions of BP (> 20 mmHg) WERE NOT associated with an increased risk of any types of stroke, with the annual incidence hovering between 2-3%.<\/p>\n

 <\/p>\n

So I guess, the answer may well be to treat hypertension aggressively, but not to the point of dizziness.<\/p>\n

 <\/p>\n

Read more:\u00a0 http:\/\/jnnp.bmj.com\/content\/early\/2014\/05\/14\/jnnp-2014-307856.full<\/p>\n

 <\/p>\n

\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/05\/14\/jnnp-2014-307856\/F1.large.jpg\"<\/p>\n

 <\/p>\n

Degree of blood pressure reduction and recurrent stroke: the PROGRESS trial<\/h1>\n
\n
    \n
  1. Hisatomi Arima<\/a><\/span>1<\/a>,<\/li>\n
  2. Craig Anderson<\/a><\/span>1<\/a>,<\/li>\n
  3. Teruo Omae<\/a><\/span>2<\/a>,<\/li>\n
  4. Mark Woodward<\/a><\/span>1<\/a>,<\/li>\n
  5. Stephen MacMahon<\/a><\/span>1<\/a>,<\/span>3<\/a>,<\/li>\n
  6. Giuseppe Mancia<\/a><\/span>4<\/a>,<\/li>\n
  7. Marie-Germaine Bousser<\/a><\/span>5<\/a>,<\/li>\n
  8. Christophe Tzourio<\/a><\/span>6<\/a>,<\/span>7<\/a>,<\/li>\n
  9. Stephen Harrap<\/a><\/span>8<\/a>,<\/li>\n
  10. Lisheng Liu<\/a><\/span>9<\/a>,<\/li>\n
  11. Bruce Neal<\/a><\/span>1<\/a>,<\/li>\n
  12. John Chalmers<\/a><\/span>1<\/a>,<\/li>\n
  13. for the PROGRESS Collaborative Group<\/span><\/li>\n<\/ol>\n

    J Neurol Neurosurg Psychiatry<\/abbr> <\/span> doi:10.1136\/jnnp-2014-307856 <\/span><\/cite><\/p>\n<\/div>\n

    <\/p>\n","protected":false},"excerpt":{"rendered":"

    A \u2018J-curve\u2019 association between blood pressure (BP) and stroke has been previously reported, whereby highest and the lowest BPs were associated with increased risks of recurrent stroke among patients with recent ischaemic stroke.\u00a0 Clearly, such a finding has management implications.\u00a0 In an upcoming issue of JNNP,\u00a0the PROGRESS Collaborative Group dismiss this myth.\u00a0 Namely, large reductions […]<\/p>\n

    Read More…<\/a><\/p>\n","protected":false},"author":160,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-399","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\nReduction in blood pressure: Does the J curve still talk?? - JNNP blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/jnnp\/2014\/06\/05\/reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reduction in blood pressure: Does the J curve still talk?? - JNNP blog\" \/>\n<meta property=\"og:description\" content=\"A \u2018J-curve\u2019 association between blood pressure (BP) and stroke has been previously reported, whereby highest and the lowest BPs were associated with increased risks of recurrent stroke among patients with recent ischaemic stroke.\u00a0 Clearly, such a finding has management implications.\u00a0 In an upcoming issue of JNNP,\u00a0the PROGRESS Collaborative Group dismiss this myth.\u00a0 Namely, large reductions [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/jnnp\/2014\/06\/05\/reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke\/\" \/>\n<meta property=\"og:site_name\" content=\"JNNP blog\" \/>\n<meta property=\"article:published_time\" content=\"2014-06-05T03:25:17+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2014-06-05T03:27:09+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/05\/14\/jnnp-2014-307856\/F1.large.jpg\" \/>\n<meta name=\"author\" content=\"Steve Vucic, Web Editor\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Steve Vucic, Web Editor\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jnnp\\\/2014\\\/06\\\/05\\\/reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jnnp\\\/2014\\\/06\\\/05\\\/reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke\\\/\"},\"author\":{\"name\":\"Steve Vucic, Web Editor\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jnnp\\\/#\\\/schema\\\/person\\\/5b9f797a427758da9d63182166e6458c\"},\"headline\":\"Reduction in blood pressure: Does the J curve still talk??\",\"datePublished\":\"2014-06-05T03:25:17+00:00\",\"dateModified\":\"2014-06-05T03:27:09+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jnnp\\\/2014\\\/06\\\/05\\\/reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke\\\/\"},\"wordCount\":170,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jnnp\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jnnp\\\/2014\\\/06\\\/05\\\/reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/jnnp.bmj.com\\\/content\\\/early\\\/2014\\\/05\\\/14\\\/jnnp-2014-307856\\\/F1.large.jpg\",\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/jnnp\\\/2014\\\/06\\\/05\\\/reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jnnp\\\/2014\\\/06\\\/05\\\/reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/jnnp\\\/2014\\\/06\\\/05\\\/reduction-in-blood-pressure-is-it-really-bad-in-acute-stroke\\\/\",\"name\":\"Reduction in blood pressure: Does the J curve still talk?? 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