Question

A 60-year-old with minor lacunar stroke 12 hours ago has BP 176/96 mmHg, not treated with thrombolysis. What is the recommended initial BP management in the first 24 hours?

Accepted Answer

Withhold antihypertensives unless BP >220/120 mmHg, then lower by ~15%

Answer

Lower BP to <120/80 immediately

Answer

Start IV nitroprusside to SBP <140

Answer

Start IV labetalol to SBP <130

Answer

Give ACE inhibitor to SBP <120 within 2 hours

Practice question

A 60-year-old with minor lacunar stroke 12 hours ago has BP 176/96 mmHg, not treated with thrombolysis. What is the recommended initial BP management in the first 24 hours?