Template:BP Goals in Acute Stroke: Difference between revisions
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===BP Goals in Acute [[Stroke]]<ref>Cocchi MN, Edlow JA. Managing Hypertention in Patients with Acute Stroke. 2020. Annals of EM 75(6):767771</ref>=== | <languages/> | ||
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===BP Goals in Acute [[Special:MyLanguage/Stroke|Stroke]]<ref>Cocchi MN, Edlow JA. Managing Hypertention in Patients with Acute Stroke. 2020. Annals of EM 75(6):767771</ref>=== | |||
{| {{table}} | {| {{table}} | ||
| align="center" style="background:#f0f0f0;"|'''Stoke Type''' | | align="center" style="background:#f0f0f0;"|'''Stoke Type''' | ||
| Line 5: | Line 9: | ||
| align="center" style="background:#f0f0f0;"|'''Notes''' | | align="center" style="background:#f0f0f0;"|'''Notes''' | ||
|- | |- | ||
| '''Acute [[ischemic stroke]]'''|||| | | '''Acute [[Special:MyLanguage/ischemic stroke|ischemic stroke]]'''|||| | ||
|- | |- | ||
| IV [[tPA]] eligble||<185/110|| | | IV [[Special:MyLanguage/tPA|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. | | During/after [[Special:MyLanguage/tPA|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 [[Special:MyLanguage/tPA|tPA]]||<220/120|| | ||
|- | |- | ||
| Mechanical thrombectomy||≤180/105||Maintain during and for 24 h after procedure | | Mechanical thrombectomy||≤180/105||Maintain during and for 24 h after procedure | ||
|- | |- | ||
| '''Aneurysmal [[subarachnoid hemorrhage]]'''|||| | | '''Aneurysmal [[Special:MyLanguage/subarachnoid hemorrhage|subarachnoid hemorrhage]]'''|||| | ||
|- | |- | ||
| 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 | ||
|- | |- | ||
| '''[[Intraparenchymal hemorrhage]]'''|||| | | '''[[Special:MyLanguage/Intraparenchymal hemorrhage|Intraparenchymal hemorrhage]]'''|||| | ||
|- | |- | ||
| Initial SPB 150-220||SBP <140|| | | Initial SPB 150-220||SBP <140|| | ||
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| Initial SPB >220||SBP 140-160|| | | Initial SPB >220||SBP 140-160|| | ||
|} | |} | ||
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Revision as of 01:11, 26 January 2026
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 | ≤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
