03-01-2010, 10:59 PM
03-02-2010, 03:39 AM
depends what do you mean by high bp, and if thrombolysis is indicated or not ( >3-4,5 hours, contraindications etc etc.
elevated BP is often detected in the first hours of stroke. ( SBP > 160)
***BOTH Hypertension and HYpotension are associated with Poor outcome.
if BP > 185/110 do NOT administer thrombolytics. ( relative contraindication).
if thrombolysis indicated BP target SBP
elevated BP is often detected in the first hours of stroke. ( SBP > 160)
***BOTH Hypertension and HYpotension are associated with Poor outcome.
if BP > 185/110 do NOT administer thrombolytics. ( relative contraindication).
if thrombolysis indicated BP target SBP
03-02-2010, 04:22 AM
if thrombolysis indicated target BP < 180/110
please check these ( i donbt know if there are newer guidelines).
if CI to thrombolytics:
sbp < 220 or MAP< 130 DBP < 120 or btw 105-120 ( in case of MI, aortic dissection HTA enceph etc etc).
Why?
to reduce brain edema, lessening the risk of hemorrhagic transformation of the infarction, preventing further vascular damage, and forestalling early recurrent stroke, treat patients with stroke who also other diseases ( such as aortic dissection, acute renal failure, acute pulmonary edema,Mi, Conversely, aggressive treatment of blood pressure may lead to neurological worsening by reducing perfusion pressure to ischemic areas of the brain
and finally >DO NOT Forget to Check GLycemia, and Temperature ( Gmia> 1,40 ( aw poor neuro outcome) Hypothermia ( neuroprotective) , Fever ( poor neuro outcome);
regards.
please check these ( i donbt know if there are newer guidelines).
if CI to thrombolytics:
sbp < 220 or MAP< 130 DBP < 120 or btw 105-120 ( in case of MI, aortic dissection HTA enceph etc etc).
Why?
to reduce brain edema, lessening the risk of hemorrhagic transformation of the infarction, preventing further vascular damage, and forestalling early recurrent stroke, treat patients with stroke who also other diseases ( such as aortic dissection, acute renal failure, acute pulmonary edema,Mi, Conversely, aggressive treatment of blood pressure may lead to neurological worsening by reducing perfusion pressure to ischemic areas of the brain
and finally >DO NOT Forget to Check GLycemia, and Temperature ( Gmia> 1,40 ( aw poor neuro outcome) Hypothermia ( neuroprotective) , Fever ( poor neuro outcome);
regards.