Arterial hypertension complications
Elevated BP increases the risk of developing stroke, particularly without routine BP measurements and hypertension treatment. A strict BP management target (SBP, <120 mmHg; DBP, <80 mmHg) should be adopted for young and middle-aged men 1).
Hypertension is the most important risk factor for the formation of cerebral aneurysm, as well as aneurysm rupture 2) 3) 4) 5) 6).
Hypertensive intracerebral hemorrhage
1)
Zhao P, Liu J, Wang C, Zhao W, Zhang Y, Gu H, Tu J, Wang J, Ning X. Strict
target blood pressure management for reducing the stroke risk according to 2017
ACC/AHA blood pressure guideline. Aging (Albany NY). 2019 Aug 27;11. doi:
10.18632/aging.102207. [Epub ahead of print] PubMed PMID: 31454794.
2)
T. Inagawa, “Risk factors for the formation and rupture of intracranial saccular aneurysms in Shimane, Japan,” World Neurosurgery, vol. 73, no. 3, pp. 155–164, 2010.
3)
M. Clarke, “Systematic review of reviews of risk factors for intracranial aneurysms,” Neuroradiology, vol. 50, no. 8, pp. 653–664, 2008.
4)
J. Dubow and M. E. Fink, “Impact of hypertension on stroke,” Current Atherosclerosis Reports, vol. 13, no. 4, pp. 298–305, 2011.
5)
B. V. Nahed, M. L. DiLuna, T. Morgan et al., “Hypertension, age, and location predict rupture of small intracranial aneurysms,” Neurosurgery, vol. 57, no. 4, pp. 676–683, 2005.
6)
C. L. Taylor, Z. Yuan, W. R. Selman, R. A. Ratcheson, and A. A. Rimm, “Cerebral arterial aneurysm formation and rupture in 20,767 elderly patients: hypertension and other risk factors,” Journal of Neurosurgery, vol. 83, no. 5, pp. 812–819, 1995.