Template:BP Goals in Acute Stroke: Difference between revisions
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| align="center" style="background:#f0f0f0;"|'''Notes'''
| align="center" style="background:#f0f0f0;"|'''Notes'''
|-
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| '''Acute Ischemic Stroke'''||||
| '''Acute [[ischemic stroke]]'''||||
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| IV [[tPA]] eligble||<185/110||
| IV [[tPA]] eligble||<185/110||
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| Mechanical thrombectomy||BP <=180/105||Maintain during and for 24 h after procedure
| Mechanical thrombectomy||BP <=180/105||Maintain during and for 24 h after procedure
|-
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| '''Aneurysmal subarachnoid hemorrhage'''||||
| '''Aneurysmal [[subarachnoid hemorrhage]]'''||||
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| Unsecured||SBP <140-160||Controversy regarding exact number; others recommend <100 MAP
| Unsecured||SBP <140-160||Controversy regarding exact number; others recommend <100 MAP
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| Secured||Unclear||May depend on ppremorbid BP and presence of vasospasm
| Secured||Unclear||May depend on ppremorbid BP and presence of vasospasm
|-
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| '''Intraparenchymal hemorrhage'''||||
| '''[[Intraparenchymal hemorrhage]]'''||||
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| Initial SPB 150-220||SBP <140||
| Initial SPB 150-220||SBP <140||

Revision as of 18:29, 22 June 2020

BP Goals in Acute Stroke[1]

Stoke Type Target BP
(mm Hg)
 		Notes
Acute ischemic stroke
IV tPA eligble <185/110
During/after tPA <180/105 Monitor BP every 15 min for 2 hr, then every 30 minfor 6 hr, then hourly until 24 hr.
No tPA <220/120
Mechanical thrombectomy BP <=180/105 Maintain during and for 24 h after procedure
Aneurysmal subarachnoid hemorrhage
Unsecured SBP <140-160 Controversy regarding exact number; others recommend <100 MAP
Secured Unclear May depend on ppremorbid BP and presence of vasospasm
Intraparenchymal hemorrhage
Initial SPB 150-220 SBP <140
Initial SPB >220 SBP 140-160
  1. ↑ Cocchi MN, Edlow JA. Managing Hypertention in Patients with Acute Stroke. 2020. Annals of EM 75(6):767771
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