Template:BP Goals in Acute Stroke: Difference between revisions
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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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| During/after tPA||<180/105||Monitor BP every 15 min for 2 hr, then every 30 minfor 6 hr, then hourly until 24 hr. | | 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|| | | No [[tPA]]||<220/120|| | ||
|- | |- | ||
| 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 | ||
Revision as of 18:28, 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 |
- ↑ Cocchi MN, Edlow JA. Managing Hypertention in Patients with Acute Stroke. 2020. Annals of EM 75(6):767771