01386nas a2200145   4500000000100000008004100001100001900042700001600061245004500077250001500122300001200137490000700149520103800156020004601194       2011                            d1 aArima Hisatomi1 aChalmers J.00aPROGRESS: Prevention of Recurrent Stroke  a2011/09/08  a693-7020 v133 a<p>
J Clin Hypertens (Greenwich). 2011;13;693-702. (c)2011 Wiley Periodicals, Inc. The Perindopril Protection Against Recurrent Stroke Study (PROGRESS) was a randomized placebo-controlled trial which clearly demonstrated that perindopril-based blood pressure (BP)-lowering treatment is one of the most effective and generalizable strategies for secondary prevention of stroke. Beneficial effects of BP lowering were observed on recurrent stroke, other cardiovascular events, disability, dependency, and cognitive function across a variety of subgroups defined by age, sex, geographical region, body mass index, diabetes, atrial fibrillation, chronic kidney disease, and baseline BP levels. Once patients with stroke have stabilized, all patients should receive BP-lowering therapy irrespective of their BP levels. On the basis of recommendations from current international guidelines, BP should be lowered to &lt;140/90 mm Hg in all patients with cerebrovascular disease and to &lt;130/80 mm Hg if therapy is well tolerated.
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