It is well known that patients with cerebrovascular disease are mostly accompanied by elevated blood pressure, and the management of blood pressure plays a crucial role in the prognosis of cerebrovascular disease, and each patient’s condition is different, so individualized antihypertensive treatment plans must be formulated on a case-by-case basis to facilitate the overall treatment and rehabilitation of cerebrovascular disease. I. Treatment principles 1.Actively and smoothly control excessive blood pressure. 2.Prevent lowering blood pressure too low or too fast. 3. Closely monitor blood pressure changes, especially in the process of blood pressure lowering treatment. 4.Lowering blood pressure should be carried out slowly, otherwise it will easily lead to cerebral ischemia. 5.Lowering blood pressure should be individualized, because each patient’s basal blood pressure is different, and may be combined with other diseases. 6, maintain the stability of blood pressure lowering effect, with long-acting blood pressure lowering drugs is better. 7.During the process of lowering blood pressure, pay attention to the protection of important organs (brain, heart, kidney). Treatment of different types of cerebrovascular diseases 1. Transient ischemic attack (TIA): The blood pressure of these patients is usually not too high, and they do not need to lower blood pressure. After TIA is completely controlled, the original hypertensive disease should be actively treated so that the blood pressure can be slowly reduced to normal level or the lowest tolerable level. 2.Blood pressure treatment of cerebral infarction: The treatment of hypertension is different for different cases of cerebral infarction, and in the process of lowering blood pressure, it is necessary to avoid lowering blood pressure too low to prevent further cerebral ischemia, infarct area expansion and aggravation of the disease. 3.Blood pressure treatment of cerebral hemorrhage: In acute cerebral hemorrhage, blood pressure reflexively increases due to the increase of cranial pressure. While treating dehydration, lower blood pressure cautiously and smoothly so that it is slightly higher than the pre-onset level. After entering the recovery period, actively treat hypertension to bring the blood pressure down to the normal range. 4.Treatment of blood pressure in subarachnoid hemorrhage: When blood pressure is high, it should be promptly lowered to normal level. Routine intravenous drip nimodipine is used to both lower blood pressure and prevent cerebral artery spasm. Dehydration and cranial pressure lowering treatment can achieve the effect of inhibiting reflex blood pressure increase. 5. Post-stroke blood pressure management: Change poor lifestyle and measure blood pressure frequently. For blood pressure control, 2 or more drugs may be used. Care should be taken not to lower blood pressure too sharply or too quickly. Antihypertensive treatment should be started after the acute phase of stroke when the condition is stable (usually 2-4 weeks after stroke).