Neurologists have long debated how to help prevent certain stroke patients from suffering a second stroke. Now research from UNC School of Medicine provides the first evidence for which course of treatment is truly best for patients with poor collateral blood vessel formation near the site of stroke: they should have their blood pressure lowered to normal levels. Many neurologists had suspected that blood pressure should be left high in this group of patients because doctors thought high blood pressure might force blood around the blockage and through collateral vessels, which would be beneficial and, therefore, reduce risk of stroke. But research from William Powers, MD, the H. Houston Merritt Distinguished Professor and Chair of the Department of Neurology, shows that keeping blood pressure high leads to a four-fold increase in the risk of stroke. The study was published in the journal Neurology March 26. "Up until now doctors would say to patients, 'well, we think you should do this or we think you should do that,'" Powers said. "But our paper provides the first data that show how patients with poor collateral vessels should be treated." Andrew Southerland, MD, a neurologist at the University of Virginia who was not … Continue reading
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