A Case of Hypertension with Systemic Multiple Arterial Stenosis Accompanied by Acute Cerebellar Infarction
Science Journal of Clinical Medicine
Volume 9, Issue 3, September 2020, Pages: 61-64
Received: Aug. 19, 2020; Accepted: Aug. 27, 2020; Published: Sep. 14, 2020
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Authors
Yun Pan, Department of Cardiology, the First Affiliated Hospital of Jinan University, Guangzhou, China
Hailing Liao, Department of Cardiology, the First Affiliated Hospital of Jinan University, Guangzhou, China
Dongdong Chen, Department of Cardiology, the First Affiliated Hospital of Jinan University, Guangzhou, China
Jiaxiong Tan, Department of Hematology, the First Affiliated Hospital of Jinan University, Guangzhou, China
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Abstract
Hypertension is a recognized risk factor for stroke and recurrent stroke. Studies have found that more than 75% of patients with acute stroke are associated with elevated blood pressure. We report a patient of hypertension with ischemic stroke who had a history of lymphoma and developed systemic atherosclerosis with good control of long-term blood glucose and lipid. Based on the literature, the etiology and treatment were discussed, suggesting that the cause of atherosclerosis may be related to the radiotherapy, chemotherapy and targeted therapy of lymphoma. It is pointed out that the target of blood pressure should be determined according to the actual situation of the patient rather than guadlines only. At the same time, the difference between stroke and coronary arterial disease in the secondary prevention was also revealed. Ticagrelor does not reduce the risk in the secondary prevention of ischemic stroke, and 21-day dual antiplatelet therapy (aspirin and clopidogrel) is recommended for patients with mild stroke starting within 24 hours to prevent stroke recurrence within 90 days.
Keywords
Hypertension, Ischemic Stroke, Atherosclerosis, Arterial Stenosis, The Secondary Prevention of Ischemic Stroke
To cite this article
Yun Pan, Hailing Liao, Dongdong Chen, Jiaxiong Tan, A Case of Hypertension with Systemic Multiple Arterial Stenosis Accompanied by Acute Cerebellar Infarction, Science Journal of Clinical Medicine. Vol. 9, No. 3, 2020, pp. 61-64. doi: 10.11648/j.sjcm.20200903.13
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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