Hypertension and Stroke Pathophysiology and Management 1st Edition by Venkatesh Aiyagari, Philip Gorelick 1607610094 9781607610090

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Product details:

ISBN 10: 1607610094

ISBN 13: 9781607610090

Author: Venkatesh Aiyagari; Philip B. Gorelick

Stroke is the third leading cause of death in the US and a leading cause of disability among adults. Stroke is not an accident but occurs in relation to a number of risk factors or antecedents. Hypertension is the most important modifiable risk factor for stroke, and blood pressure level may play an important role in determining outcome after acute ischemic or hemorrhagic stroke. Hypertension remains poorly controlled in the community at-large, and once stroke occurs clinicians are not certain about proper management of blood pressure during the acute, subacute and chronic periods after stroke. Given the importance placed on hypertension as a risk factor for stroke and new data which is now available from clinical trials regarding management of hypertension for stroke prevention and after stroke, a compendium is needed to concisely summarize the available data on hypertension and stroke and direct clinicians about proper treatment of blood pressure. This text will address the epidemiology, mechanism, and pathophysiology of hypertension and blood pressure in relation to stroke and other brain sequelae of abnormal blood pressure, results of clinical trials demonstrating best suggested practice modalities to manage blood pressure and hypertension, and provide practical management tips for controlling blood pressure and hypertension. The book will be a valuable asset to medical students, resident physicians, practicing physicians, and other health care professionals who treat stroke patients or deal with persons at high-risk for stroke.

Table of contents:

1. Blood Pressure and Hypertension as Antecedents of Stroke

1. Blood Pressure: Definition, Diagnosis, and Management

2. The Link Between Hypertension and Stroke: Summary of Observational Epidemiological Studies

3. Blood Pressure Control and Primary Prevention of Stroke: Summary of Clinical Trial Data

2. Mechanisms of Hypertension and Hypertension-Related Stroke

4. Mechanisms Underlying Essential Hypertension: Neurogenic and Nonneurogenic Contributors

5. Pathophysiology and Mechanisms Whereby Hypertension May Cause Stroke

3. Management of Blood Pressure for First Stroke Prevention,Immediately after Acute Stroke,and for Recurrent Stroke Prevention

6. Cardiovascular Risk Assessment and Summary of Guidelines for the Management of Hypertension

7. Acute Blood Pressure Management After Ischemic Stroke

8. Hypertensive Encephalopathy and Acute Blood Pressure Management After Hemorrhagic Stroke

9. Recurrent Stroke Prevention I: Diuretic and Angiotensin-Converting Enzyme Inhibitors (ACEIs) – The PROGRESS Trial

10. Recurrent Stroke Prevention II: Angiotensin Receptor Blockers—The LIFE, MOSES, PRoFESS, and Other Trials

11. A Practical Guide to Recurrent Stroke Prevention

4. Mechanisms and Sequelae of Elevated Blood Pressure on Brain Function and Cognition

12. Vascular Cognitive Impairment and Alzheimer Disease: Are These Disorders Linked to Hypertension and Other Cardiovascular Risk Factors?

13. Cerebral Small Vessel Disease, Hypertension, and Cognitive Function

14. Cerebral Microbleeds, Small-Vessel Disease of the Brain, Hypertension, and Cognition

15. Imaging Effects of Hypertension on the Brain: A Focus on New Imaging Modalities and Options

5. Organization of Stroke Care

16. The Joint Commission’s Initiatives to Improve Stroke Care and What It Means for Acute Stroke Care and Prevention

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Tags: Venkatesh Aiyagari, Philip Gorelick, Hypertension, Pathophysiology