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Cited by 369

The DOI matches its Crossref record; 239 of the 239 references it cites were found in a registry or an index.

The importance of comorbidities in ischemic stroke: Impact of hypertension on the cerebral circulation

Open access
Cipolla, Marilyn J, Liebeskind, David S, Chan, Siu-Lung·2018·Journal of Cerebral Blood Flow & Metabolism

Abstract

Comorbidities are a hallmark of stroke that both increase the incidence of stroke and worsen outcome. Hypertension is prevalent in the stroke population and the most important modifiable risk factor for stroke. Hypertensive disorders promote stroke through increased shear stress, endothelial dysfunction, and large artery stiffness that transmits pulsatile flow to the cerebral microcirculation. Hypertension also promotes cerebral small vessel disease through several mechanisms, including hypoperfusion, diminished autoregulatory capacity and localized increase in blood–brain barrier permeability. Preeclampsia, a hypertensive disorder of pregnancy, also increases the risk of stroke 4–5-fold compared to normal pregnancy that predisposes women to early-onset cognitive impairment. In this review, we highlight how comorbidities and concomitant disorders are not only risk factors for ischemic stroke, but alter the response to acute ischemia. We focus on hypertension as a comorbidity and its effects on the cerebral circulation that alters the pathophysiology of ischemic stroke and should be considered in guiding future therapeutic strategies.

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Metadata

Authors
Cipolla, M. J., Liebeskind, D. S., & Chan, S.-L.
Venue
Journal of Cerebral Blood Flow & Metabolism
Published
2018-09-10
Volume
38
Issue
12
Pages
2129-2149
ISSN
  • 0271-678X (ISSN-L)
  • 1559-7016
OpenAlex
W2892168042
Cited by
369
References
239
FWCI
11.59
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: The importance of comorbidities in ischemic stroke: Impact of hypertension on the cerebral circulation. https://app.cochat.ai/papers/10.1177/0271678x18800589
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Cipolla, M. J., Liebeskind, D. S., & Chan, S.-L. (2018). The importance of comorbidities in ischemic stroke: Impact of hypertension on the cerebral circulation. Journal of Cerebral Blood Flow & Metabolism. https://doi.org/10.1177/0271678x18800589

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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