2021 Taiwan Stroke Society Guidelines of blood pressure control for ischemic stroke prevention - Guideline - blood pressure target

Q: What is the main BP target recommended for most stroke patients with hypertension?

The guideline concludes that the BP target for most stroke patients with hypertension is <130/80 mm Hg.

Q: Which clinical topics are covered by the guideline?

The guideline covers five topics: diagnosis of hypertension, BP control with primary prevention of ischemic stroke, BP control with secondary prevention of ischemic stroke, and subtype-specific secondary prevention for large artery atherosclerosis and small vessel occlusion.

Q: How were the recommendations developed?

The TSS guideline consensus group reviewed updated evidence, including randomized trials and observational studies, determined evidence levels, and formulated recommendations through consensus meetings.

Sep 29, 2026

Uploaded by Kyle

Background: Following the 2015 Taiwan Stroke Society Blood Pressure for Treatment and Prevention of Stroke Guideline, new clinical studies have examined whether stricter blood pressure (BP) targets improve stroke prevention. Methods: The Taiwan Stroke Society (TSS) guideline consensus group formulates BP target recommendations using updated evidence. Results: The guideline addresses five topics, including hypertension diagnosis, primary and secondary ischemic stroke prevention, and subtype-specific secondary prevention for large-artery atherosclerosis and small-vessel occlusion. Conclusion: For most hypertensive stroke patients, the BP target is <130/80 mm Hg.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages14

Reading Time35 min

AccessFree to download

INTRODUCTION

Background

Methods

Results

Hypertension diagnosis

Primary and secondary ischemic stroke prevention

Large-artery atherosclerosis subtype prevention

Small-vessel occlusion subtype prevention

Conclusion

Keywords

. J Chin MedAssoc Guidelines 2021 Taiwan Stroke Society Guidelines of blood pressure control for ischemic stroke prevention Nai-Fang Chia,b, Chih-Ping Chunga,b,*, Hao-Ming Chengc,d,e, Chi-Hung Liuf, Chun-Jen Lina,b, Li-Chi Hsua,b, Sung-Chun Tangg, Jiunn-Tay Leeh, Helen L. Poi, Jiann-Shing Jengg, Tzung-Dau Wangj, I-Hui Leea,b; Taiwan Stroke Society Guideline Consensus Group aDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; bDepartment of Neurology in School of Medicine, National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan, ROC; cCenter for Evidencebased Medicine & Division of Cardiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; dDepartment of Medicine, National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan, ROC; eInstitute of Public Health, National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan, ROC; fDepartment of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan, ROC; gDepartment of Neurology, National Taiwan University Hospital, Taipei, Taiwan, ROC; hDepartment of Neurology, Tri-Service General Hospital, Taipei, Taiwan, ROC; iDepartment of Neurology, Mackay Memorial Hospital, Taipei, Taiwan, ROC; jDepartment of Cardiology, National Taiwan University, Taipei, Taiwan, ROC Abstract Background: Since the publication of the 2015 Taiwan Stroke Society Blood Pressure for Treatment and Prevention of Stroke Guideline (2015 TSS BP Guideline), several new clinical studies have addressed whether a stricter blood pressure (BP) target would be effective for stroke prevention. Methods: TSS guideline consensus group provides recommendations on BP targets for stroke prevention based on updated evidences. Results: The present guideline covers five topics: (1) diagnosis of hypertension; (2) BP control and primary prevention of ischemic stroke; (3) BP control and secondary prevention of ischemic stroke; (4) BP control and secondary prevention of large artery atherosclerosis ischemic stroke; and (5) BP control and secondary prevention of small vessel occlusion ischemic stroke. Conclusion: The BP target for most stroke patients with hypertension is <130/80 mm Hg. Keywords: Atherosclerosis; Blood pressure; Ischemic stroke 1. INTRODUCTION This guideline proposes recommendations for blood pressure (BP) control in patients with ischemic stroke on the basis of the latest clinical evidence. The members of the Taiwan Stroke Society (TSS) *Address correspondence. Dr. Chih-Ping Chung, Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei 112, Taiwan, [ROC. E-mail address: pin324pin324@gmail.com](ROC. E-mail address: pin324pin324@gmail.com) (C.-P. Chung). Conflicts of interest: Dr. Chi has been on the speaker's bureau for AstraZeneca, Bayer, Boehringer Ingelheim, Daiichi-Sankyo, Pfizer, and Sanofi. Dr. Chung has been on the speakers bureau for AstraZeneca, Boehringer Ingelheim, DaiichiSankyo, Viatris, and Sanofi. Dr. Li has been on the speakers bureau for Bayer, Boehringer Ingelheim, Daiichi-Sankyo, and Pfizer. Dr. Wang has been on the speakers bureau for Abbott, AstraZeneca, Bayer, Boehringer Ingelheim, Cordis, Daiichi-Sankyo, GSK, Medtronic, MSD, Novartis, Pfizer, Sanofi, and Takeda. The other authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article. Journal of Chinese Medical Association. (2022) 85: 651-664. Received July 24, 2021; accepted November 16, 2021. doi: 10. 1097/JCMA.0000000000000738. Copyright © 2022, the Chinese Medical Association. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/](http://creativecommons.org/licenses/)[ ](http://creativecommons.org/licenses/)[by-nc-nd/4.0/](by-nc-nd/4.0/)) Guideline Consensus Group were invited to a discussion by the chairperson of t

FAQs

What is the main BP target recommended for most stroke patients with hypertension?

The guideline concludes that the BP target for most stroke patients with hypertension is <130/80 mm Hg.

Which clinical topics are covered by the guideline?

The guideline covers five topics: diagnosis of hypertension, BP control with primary prevention of ischemic stroke, BP control with secondary prevention of ischemic stroke, and subtype-specific secondary prevention for large artery atherosclerosis and small vessel occlusion.

How were the recommendations developed?

The TSS guideline consensus group reviewed updated evidence, including randomized trials and observational studies, determined evidence levels, and formulated recommendations through consensus meetings.

Sep 29, 2026

Uploaded by Kyle