does intensive blood pressure control reduce stroke risk?

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Intensive blood pressure control targeting systolic BP <120 mmHg did not significantly reduce total stroke incidence compared to standard control, with 69 vs 78 strokes observed in one study. (PMC8224947) Similarly, among participants with elevated cardiovascular risk, intensive blood pressure control did not significantly reduce stroke incidence compared to standard control (69 vs 78 strokes). (PMC8224947) Analysis of stroke subtypes in the SPRINT trial showed similar numbers of hemorrhagic and ischemic strokes between intensive and standard blood pressure control groups (e.g., hemorrhagic: 6 vs 7; large artery atherosclerosis: 11 vs 13). (PMC8224947) Among SPRINT participants without prior cardiovascular disease, there were fewer strokes in the intensive BP control arm (43 vs 61 strokes), but this difference did not reach statistical significance (p=0.09). (PMC8224947)

	Intervention	Condition	Outcome / Effect		Source
📊	Intensive blood pressure control vs stan vs Standard blood pressure contro	Hypertension Frail Older Adults	Intensive blood pressure control targeting systolic BP <120 mmHg did not significantly reduce total 69 vs 78 strokes	—	PMC8224947 3.33 years
📊	Intensive blood pressure control vs stan vs Standard blood pressure contro	Stroke Frail Older Adults	Intensive blood pressure control targeting systolic BP <120 mmHg did not significantly reduce total 69 vs 78 strokes	—	PMC8224947 3.33 years
📊	Intensive blood pressure control vs stan vs Standard blood pressure contro	elevated cardiovascular risk Frail Older Adults	Intensive blood pressure control targeting systolic BP <120 mmHg did not significantly reduce total 69 vs 78 strokes	—	PMC8224947 3.33 years
📊	Intensive blood pressure control vs stan vs Standard blood pressure contro	Hypertension Frail Older Adults	Intensive blood pressure control resulted in similar numbers of hemorrhagic and ischemic stroke subt Hemorrhagic: 6 vs 7; LAA: 11 vs 13; CE:	—	PMC8224947 3.33 years
📊	Intensive blood pressure control vs stan vs Standard blood pressure contro	Stroke Frail Older Adults	Intensive blood pressure control resulted in similar numbers of hemorrhagic and ischemic stroke subt Hemorrhagic: 6 vs 7; LAA: 11 vs 13; CE:	—	PMC8224947 3.33 years
📊	Intensive blood pressure control vs stan vs Standard blood pressure contro	elevated cardiovascular risk Frail Older Adults	Intensive blood pressure control resulted in similar numbers of hemorrhagic and ischemic stroke subt Hemorrhagic: 6 vs 7; LAA: 11 vs 13; CE:	—	PMC8224947 3.33 years
📊	Intensive blood pressure control vs stan vs Standard blood pressure contro	Hypertension Frail Older Adults	Among SPRINT participants without prior cardiovascular disease, fewer strokes occurred in the intens 43 vs 61 strokes (p=0.09)	—	PMC8224947
📊	Intensive blood pressure control vs stan vs Standard blood pressure contro	Stroke Frail Older Adults	Among SPRINT participants without prior cardiovascular disease, fewer strokes occurred in the intens 43 vs 61 strokes (p=0.09)	—	PMC8224947

does intensive blood pressure control reduce stroke risk?

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