{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T10:53:12Z","timestamp":1776509592973,"version":"3.51.2"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"22","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2023,11,21]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Guideline\u2010based hypertension management is integral to the prevention of stroke. We examine trends in antihypertensive medications prescribed after stroke and assess how well a prescriber's blood pressure (BP) medication choice adheres to clinical practice guidelines (BP\u2010guideline adherence).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              The FSR (Florida Stroke Registry) uses statewide data prospectively collected for all acute stroke admissions. Based on established guidelines, we defined optimal BP\u2010guideline adherence using the following hierarchy of rules: (1) use of an angiotensin\u2010converting enzyme inhibitor or angiotensin receptor blocker as first\u2010line antihypertensive among diabetics; (2) use of thiazide\u2010type diuretics or calcium channel blockers among Black patients; (3) use of beta blockers among patients with compelling cardiac indication; (4) use of thiazide, angiotensin\u2010converting enzyme inhibitor\/angiotensin receptor blocker, or calcium channel blocker class as first line in all others; (5) beta blockers should be avoided as first line unless there is a compelling cardiac indication. A total of 372\u2009254 cases from January 2010 to March 2020 are in the FSR with a diagnosis of acute ischemic stroke, hemorrhagic stroke, transient ischemic attack, or subarachnoid hemorrhage; 265\u2009409 with complete data were included in the final analysis. Mean age was 70\u00b114\u2009years; 50% were women; and index stroke subtypes were 74% acute ischemic stroke, 11% intracerebral hemorrhage, 11% transient ischemic attack, and 4% subarachnoid hemorrhage. BP\u2010guideline adherence to each specific rule ranged from 48% to 74%, which is below quality standards of 80%, and was lower among Black patients (odds ratio, 0.7 [95% CI, 0.7\u20130.83];\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) and those with atrial fibrillation (odds ratio, 0.53 [95% CI, 0.50\u20130.56];\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) and diabetes (odds ratio, 0.65 [95% CI, 0.61\u20130.68];\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">This large data set demonstrates consistently low rates of BP\u2010guideline adherence over 10\u2009years. There is an opportunity for monitoring hypertensive management after stroke.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.030272","type":"journal-article","created":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T10:19:38Z","timestamp":1700475578000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Ten\u2010Year Review of Antihypertensive Prescribing Practices After Stroke and the Associated Disparities From the Florida Stroke Registry"],"prefix":"10.1161","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3991-3179","authenticated-orcid":false,"given":"Gillian","family":"Gordon Perue","sequence":"first","affiliation":[{"name":"Department of Neurology, Leonard M. 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