{"id":336363,"date":"2019-04-30T02:00:00","date_gmt":"2019-04-30T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/ne-pas-negliger-la-pression-arterielle-en-cas-dapoplexie-aigue\/"},"modified":"2019-04-30T02:00:00","modified_gmt":"2019-04-30T00:00:00","slug":"ne-pas-negliger-la-pression-arterielle-en-cas-dapoplexie-aigue","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/ne-pas-negliger-la-pression-arterielle-en-cas-dapoplexie-aigue\/","title":{"rendered":"Ne pas n\u00e9gliger la pression art\u00e9rielle en cas d&#8217;apoplexie aigu\u00eb"},"content":{"rendered":"<p><strong>La n\u00e9cessit\u00e9 de traiter ou non l&#8217;hypertension apr\u00e8s un accident vasculaire c\u00e9r\u00e9bral d\u00e9pend de diff\u00e9rents facteurs. D&#8217;une part, la p\u00e9nombre d\u00e9pend de la pression art\u00e9rielle systolique, mais une augmentation de 10 mmHg pour des valeurs sup\u00e9rieures \u00e0 180 mmHg augmente la probabilit\u00e9 d&#8217;un mauvais r\u00e9sultat d&#8217;environ 25%. Alors que faire ?<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p>Lors d&#8217;un accident vasculaire c\u00e9r\u00e9bral aigu, 75% des patients souffrent d&#8217;une pression art\u00e9rielle \u00e9lev\u00e9e. Il est possible que cela soit d\u00fb au stress provoqu\u00e9 par l&#8217;\u00e9v\u00e9nement, \u00e0 une vessie pleine, \u00e0 des naus\u00e9es, des vomissements, des douleurs et\/ou une r\u00e9action physiologique \u00e0 une hypoxie c\u00e9r\u00e9brale, a expliqu\u00e9 le professeur Andreas Luft, de Zurich. La question est de savoir si l&#8217;hypertension art\u00e9rielle doit \u00eatre trait\u00e9e ou non. D&#8217;un c\u00f4t\u00e9, la r\u00e9duction du risque de r\u00e9-infarctus et d&#8217;h\u00e9morragie, la minimisation de l&#8217;\u0153d\u00e8me c\u00e9r\u00e9bral et un soulagement cardiaque plaident en faveur de cette solution. Mais d&#8217;un autre c\u00f4t\u00e9, une pression art\u00e9rielle basse est \u00e9galement associ\u00e9e \u00e0 un mauvais r\u00e9sultat. Diff\u00e9rentes \u00e9tudes se sont pench\u00e9es sur ce sujet. Le professeur Luft a conclu qu&#8217;une r\u00e9duction prudente de 15 \u00e0 25% maximum en 24 heures, \u00e0 l&#8217;aide d&#8217;antihypertenseurs intraveineux \u00e0 courte dur\u00e9e d&#8217;action, constitue une approche appropri\u00e9e. Celle-ci doit \u00eatre effectu\u00e9e sous surveillance stricte, y compris avec une mesure de la pression art\u00e9rielle. Ce n&#8217;est qu&#8217;en cas d&#8217;h\u00e9morragie qu&#8217;une r\u00e9duction plus intensive \u00e0 &lt;systolique 140&nbsp;mmHg doit \u00eatre recherch\u00e9e.<\/p>\n<p>&nbsp;<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" size-full wp-image-11716\" alt=\"\" src=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31.png\" style=\"height:178px; width:600px\" width=\"1100\" height=\"327\" srcset=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31.png 1100w, https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31-800x238.png 800w, https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31-120x36.png 120w, https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31-90x27.png 90w, https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31-320x95.png 320w, https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31-560x166.png 560w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em>Source : Journ\u00e9e zurichoise de l&#8217;hypertension<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>Litt\u00e9rature :<\/p>\n<ol>\n<li>Willmot, et al. : Hypertension 2004<\/li>\n<li>Castilio, et al. : Accident vasculaire c\u00e9r\u00e9bral 2004<\/li>\n<li>Lignes directrices 2008 de l&#8217;AHA<\/li>\n<li>Enames, et al. : JNNP 2002<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><em>CARDIOVASC 2019 ; 18(2) : 31<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La n\u00e9cessit\u00e9 de traiter ou non l&#8217;hypertension apr\u00e8s un accident vasculaire c\u00e9r\u00e9bral d\u00e9pend de diff\u00e9rents facteurs. D&#8217;une part, la p\u00e9nombre d\u00e9pend de la pression art\u00e9rielle systolique, mais une augmentation de&hellip;<\/p>\n","protected":false},"author":7,"featured_media":88627,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Gestion de l'hypertension","footnotes":""},"category":[11378,11535,11549],"tags":[29535,13458,13455],"powerkit_post_featured":[],"class_list":["post-336363","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cardiologie","category-rapports-de-congres","category-rx-fr","tag-apoplexie","tag-hypertension-fr","tag-hypertension-arterielle","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-07-04 14:45:43","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":336372,"slug":"non-trascuri-la-pressione-arteriosa-nellapoplessia-acuta","post_title":"Non trascuri la pressione arteriosa nell'apoplessia acuta.","href":"https:\/\/medizinonline.com\/it\/non-trascuri-la-pressione-arteriosa-nellapoplessia-acuta\/"},"pt_PT":{"locale":"pt_PT","id":336379,"slug":"nao-desconsiderar-a-tensao-arterial-na-apoplexia-aguda","post_title":"N\u00e3o desconsiderar a tens\u00e3o arterial na apoplexia aguda","href":"https:\/\/medizinonline.com\/pt-pt\/nao-desconsiderar-a-tensao-arterial-na-apoplexia-aguda\/"},"es_ES":{"locale":"es_ES","id":336342,"slug":"no-desprecie-la-presion-arterial-en-la-apoplejia-aguda","post_title":"No desprecie la presi\u00f3n arterial en la apoplej\u00eda aguda","href":"https:\/\/medizinonline.com\/es\/no-desprecie-la-presion-arterial-en-la-apoplejia-aguda\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/336363","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=336363"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/336363\/revisions"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=336363"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=336363"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=336363"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=336363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}