The main objective of the study is to compare the benefit of optimised follow-up by nursing personnel from the vascular neurology department, including therapeutic follow-up and an educational program directed to the patient and a caregiving member of his social circle, with that of a typical follow-up.

Inclusion Criteria:

• Patients over 60 years of age
• Patients who have had a first stroke, transient or permanent, ischaemic or haemorrhagic, justifying hospitalisation
• Patients with high blood pressure already treated or discovered at the time of the stroke and justifying the start of a treatment
• Patients who have had a stroke with sequelae allowing immediate return home or justifying a stay of less than one month in rehabilitation
• Patient having a member of his social circle who has agreed to provide follow-up for two years in association with the assigned nursing personnel in case of randomisation into the "optimised follow-up" group.

Exclusion criteria

• Patients less than 60 years of age
• Patients with a history of stroke
• Patients who do not have high blood pressure discovered by a treatment prior to the stroke or by abnormal blood pressure figures during hospitalisation
• Patients who have had a stroke causing serious sequelae, justifying an extended stay in a rehabilitation department
• Patient who has no one in his social circle capable of working with the assigned nursing personnel, or patient living in an institution