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5.3.9.3. Secondary Stroke Prevention
COR LOE
Recommendations
1 A
1. In patients with hypertension who have experienced an
ischemic stroke, transient ischemic attack (TIA), or ICH,
treatment with a thiazide-type diuretic, ACEi, or ARB is
recommended for lowering BP and reducing recurrent stroke
and ICH risk.
1 B-R
2. In patients with hypertension who have experienced an
ischemic stroke, TIA, or ICH, an office SBP/DBP goal
of <130/80 mm Hg is recommended to reduce the risk of
recurrent stroke, ICH, and other vascular events.
2a B-R
3. In patients with no history of hypertension who have
experienced an ischemic stroke, TIA, or ICH and have an
average office SBP/DBP of ≥130/80 mm Hg, antihypertensive
medication treatment can be beneficial to reduce the risk of
recurrent stroke, ICH, and other vascular events.
5.3.9.4. Mild Cognitive Impairment and Dementia
COR LOE
Recommendation
1 A
1. In adults with hypertension, a goal of <130 mm Hg SBP is
recommended to prevent mild cognitive impairment and
dementia.
