Blood pressure management after acute ischemic stroke
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Current consensus guidelines recommend that if a patient is not eligible for thrombolytic therapy, blood pressure (BP) should not be treated until it is >220/120 mmHg. If the patient is otherwise eligible to receive thrombolytic therapy, the maximum permitted BP is 185/110 mmHg, because of an increased risk of hemorrhage above this value. Some evidence suggests that actively lowering BP within 36 hours of acute stroke does not worsen outcomes and decreases all-cause mortality at 3 months.
Evidence Based Practice 14(7): 05.