Posterior reversible encephalopathy syndrome coexists with acute cerebral infarction: challenges of blood pressure management
| Autor: | Luji Liu, Lihong Zhang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Blood pressure management
medicine.medical_specialty business.industry Elevated bp Cerebral infarction Posterior reversible encephalopathy syndrome Ischemic injury medicine.disease Clinical trial Blood pressure Research Highlights Internal medicine Acute cerebral infarction Cardiology Medicine Radiology Nuclear Medicine and imaging business |
| Zdroj: | Quant Imaging Med Surg |
| ISSN: | 2223-4306 2223-4292 |
| DOI: | 10.21037/qims-20-392 |
| Popis: | Hypertension is the most common cause of posterior reversible encephalopathy syndrome (PRES) and acute cerebral infarction. Due to the lack of randomized controlled clinical trials (RCTs), early antihypertensive methods are diverse, even contradictory. So far, there is no consensus on the method of blood pressure (BP) management when the 2 diseases coexist. Generally, antihypertensive therapy should be initiated quickly in the acute phase of PRES, as most patients have elevated BP. However, various factors must be considered before the administration of early antihypertensive therapy in acute cerebral infarction. The coexistence of PRES and acute cerebral infarction is uncommon clinically, and more complicated subsequent BP management. This article reports a case of PRES coexisting with acute lacunar cerebral infarction, which was caused by hypertension. We have analyzed and summarized the antihypertensive principles in PRES and different phases of acute cerebral ischemic injury. We assert that when PRES and acute cerebral infarction coexist, the antihypertensive treatment should be individualized, and careful consideration should be given to the various influencing factors. |
| Databáze: | OpenAIRE |
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