Question

A 70-year-old with ischemic stroke not treated with tPA presents with BP 210/115 mmHg and no end-organ symptoms. Management?

Accepted Answer

Permissive hypertension up to 220/120 mmHg in first 24-48 hours

Answer

Immediate reduction to <140/90 within 1 hour

Answer

Start IV nitroprusside to SBP 160 now

Answer

Dual antiplatelet loading immediately

Answer

No BP monitoring needed

Practice question

A 70-year-old with ischemic stroke not treated with tPA presents with BP 210/115 mmHg and no end-organ symptoms. Management?