高血压作为脑卒中的独寺危险因素已经被公认,长期、合理、有效地降血压治疗可明显减少首次脑卒中发病率。但是,对脑卒中的具体血压调控机理,尤其是急性期血压增高的治疗问题一直仔在争论。20世纪70年代以后,许多学者对急性脑卒中的血压变化及其处理进行了广泛研究,很多方面的认识开始趋于一致。从争议到共识,正反映了从基础到临床的研究相互促进,越来越深入,使脑卒中防治理论和实践不断走向科学和成熟。不管是神经科医生,还是心内科医生、大内科医生,都有必要对脑卒中与血压调控的基础机理进行更为深入地了解,才能更清晰的认识和解决临床问题。本刊特邀神经内科和心血管内科的专家从不同角度深入浅出地就脑卒中与血压调控的机理进行对话,结合临床实践集中探讨了其中几个颇具代表性的热点问题。同时我们将在“论坛”陆续刊登相关专题的内容。热切期待您的参与。(E—mail:liuyaming@cmednews.com) Hypertension as a single stroke risk factor has been recognized as long-term, reasonable and effective antihypertensive treatment can significantly reduce the incidence of first stroke. However, the specific mechanism of stroke blood pressure regulation, especially in the treatment of acute high blood pressure has been debated. Since the 1970s, many scholars have conducted extensive research on the changes of blood pressure in acute stroke and their treatment, and many aspects of understanding have begun to converge. From the controversy to the consensus, it reflects that the research from the basic to the clinical promotes each other more and more deeply, making the theory and practice of stroke prevention and control more and more scientific and mature. Both neurologists, cardiologists and major physicians need to have a deeper understanding of the underlying mechanisms of stroke and blood pressure regulation in order to better understand and solve clinical problems. In this article, specialists in neurology and cardiovascular medicine are invited to discuss the mechanism of stroke and blood pressure regulation from different perspectives and to discuss several hot issues that are representative of them in combination with clinical practice. At the same time, we will publish the relevant topics in “forums” one after another. Looking forward to your participation. (E-mail: liuyaming@cmednews.com)