Template:BP Goals in Acute Stroke
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