Optimization of Blood Pressure Management After Acute Ischemic Stroke and Its Prognostic Significance

* Elevated blood pressure is an established risk factor for recurrent stroke and vascular events in ischemic stroke survivors, but * Current guideline (JNC VIII) has omitted or only partially covered a number of practical and important issues as follow; * When and how we measure blood pressure? * Is it justifiable to apply the same blood pressure threshold for office BP and home BP? * Should stroke survivors be treated by the same BP goal for non-stroke subjects? * Is it justifiable to apply the universal BP threshold for different mechanisms of ischemic stroke? * Is it really about only blood pressure or might it really be "beyond blood pressure?" * Lifestyle modification should accompany all the pharmacological intervention but is usually in adequate to initiate behavioral changes. * Frequent BP measurement at home will provide more detailed and reliable information than occasional office BP's.