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The management of blood pressure in stroke patients is as critical as it is controversial. There is a huge evidence gap in developed countries which is even wider in developing countries. Nevertheless, the purpose of this review is to give an overview of current evidence and propose simplified and practical recommendations for managing BP in stroke patients particularly in resource-limited settings. Lowering BP is effective for recurrent stroke prevention and the degree of BP reduction may be more important than the class of the agent used. Further studies are required to determine
specific blood pressure targets for different types of stroke, type of drugs and preferred route of administration, time of commencement of therapy and rate of control, as well as specific considerations in terms of race, age and co-morbidities.