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Rustam Al Shahi Salman on Stroke Due to Intracerebral Haemorrhage

Rustam Al-Shahi Salman/LinkedIn

Dec 4, 2025, 14:16

Rustam Al Shahi Salman on Stroke Due to Intracerebral Haemorrhage

Rustam Al Shahi Salman, Deputy Chair of the NIHR HTA Commissioning Funding Committee, shared on LinkedIn:

”The cause of stroke due to intracerebral haemorrhage (ICH) is so much more complicated than being, simply, “hypertensive”.

Most people with spontaneous intracerebral haemorrhage (ICH) do have hypertension, which is the strongest modifiable predisposing (risk) factor.

But multiple long-term medical conditions and other known predisposing factors for ICH usually coexist with hypertension, indicating that the causal pathway is multifactorial, and the term hypertensive ICH is over-simplistic.

In this review, we integrate the highest quality evidence and our clinical experience in a framework to attribute multiple predisposing factors, underlying pathologies, and precipitating factors as the cause of ICH.

In clinical practice, this framework supports physicians to take a holistic approach to treatment and prevention of ICH.

In research, this framework shows how existing classification systems for the cause of ICH include underlying macrovascular, microvascular, and other structural pathologies but few predisposing or precipitating factors.

Furthermore, this framework can inform the development of a more holistic classification system and expose knowledge gaps, including how predisposing factors lead to underlying pathologies and why only some people with these pathologies experience ICH.

Get in touch if you want to apply for funding to come and work with us on disentangling this complex problem…”

Read the full article here.

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Rustam Al Shahi Salman on Stroke Due to Intracerebral Haemorrhage