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Transient ischemic attack
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=== Blood pressure control === Blood pressure control may be indicated after TIA to reduce the risk of ischemic stroke. About 70% of patients with recent ischemic stroke are found to have hypertension, defined as systolic blood pressure (SBP) > 140 mmHg, or diastolic blood pressure (DBP) > 90 mmHg.<ref name=":2" /> Until the first half of the 2010s, blood pressure goals have generally been SBP < 140 mmHg and DBP < 90 mmHg.<ref name=":2" /> However, newer studies suggest that a goal of SBP <130 mmHg may confer even greater benefit.<ref>{{cite journal | vauthors = Reboussin DM, Allen NB, Griswold ME, Guallar E, Hong Y, Lackland DT, Miller EP, Polonsky T, Thompson-Paul AM, Vupputuri S | display-authors = 6 | title = Systematic Review for the 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines | journal = Journal of the American College of Cardiology | volume = 71 | issue = 19 | pages = 2176–2198 | date = May 2018 | pmid = 29146534 | doi = 10.1016/j.jacc.2017.11.004 | pmc = 8654280 | doi-access = free }}</ref><ref>{{cite journal | vauthors = Katsanos AH, Filippatou A, Manios E, Deftereos S, Parissis J, Frogoudaki A, Vrettou AR, Ikonomidis I, Pikilidou M, Kargiotis O, Voumvourakis K, Alexandrov AW, Alexandrov AV, Tsivgoulis G | display-authors = 6 | title = Blood Pressure Reduction and Secondary Stroke Prevention: A Systematic Review and Metaregression Analysis of Randomized Clinical Trials | journal = Hypertension | volume = 69 | issue = 1 | pages = 171–179 | date = January 2017 | pmid = 27802419 | doi = 10.1161/HYPERTENSIONAHA.116.08485 | s2cid = 42869560 | doi-access = free }}</ref> Blood pressure control is often achieved using [[diuretic]]s or a combination of diuretics and [[ACE inhibitor|angiotensin converter enzyme inhibitors]], although the optimal treatment regimen depends on the individual.<ref name=":2" /> Studies that evaluated the application of blood pressure‐lowering drugs in people who had a TIA or stroke, concluded that this type of medication helps to reduce the possibility of a recurrent stroke, of a major vascular event and dementia.<ref name="Blood pressure-lowering treatment f">{{cite journal | vauthors = Zonneveld TP, Richard E, Vergouwen MD, Nederkoorn PJ, de Haan R, Roos YB, Kruyt ND | title = Blood pressure-lowering treatment for preventing recurrent stroke, major vascular events, and dementia in patients with a history of stroke or transient ischaemic attack | journal = The Cochrane Database of Systematic Reviews | volume = 7 | pages = CD007858 | date = July 2018 | issue = 8 | pmid = 30024023 | pmc = 6513249 | doi = 10.1002/14651858.cd007858.pub2 }}</ref> The effects achieved in stroke recurrence were mainly obtained through the ingestion of angiotensin-converting enzyme (ACE) inhibitor or a diuretic.<ref name="Blood pressure-lowering treatment f"/>
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