What is the optimal timing to begin BP lowering after acute stroke?
The optimal timing to begin BP lowering after acute stroke is uncertain. However, the ongoing randomized ESH-CHL-SHOT trial (European Society of Hypertension and Chinese Hypertension League Stroke in Hypertension Optimal Treatment) will provide further insight into the optimal BP target for patients with prior stroke.207 Areas of future research on hypertension and stroke include the timing to begin BP lowering after acute stroke, the optimal time during the day for BP medication administration to prevent recurrent stroke, the optimal BP target for very elderly patients with stroke, and the optimal BP target for patients with diabetes with stroke.