ESOC 2023 | Unanswered questions on blood pressure lowering for stroke management

William Whiteley, PhD, MRCP, from the University of Edinburgh, shares his thoughts on the totality of evidence regarding blood pressure lowering in stroke management. While studies have not indicated a significant benefit attributable to early and intensive blood pressure lowering in patients without thrombectomy, it may be beneficial in some cases and is not associated with harm. For patients with ischemic stroke who undergo endovascular thrombectomy, early blood pressure lowering may be harmful (OPTIMAL-BP; worse recovery in the intensive vs conventional BP lowering group). How to reduce blood pressure in the long-term on a population-wide scale is a critical question for stroke prevention. This interview took place during the European Stroke Organisation Conference (ESOC) in Munich, Germany.

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