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Acute Ischemic Stroke — SCE Neurology MCQ

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ModerateNeurologyAcute Ischemic StrokeSCE Neurology

A 66-year-old woman with suspected acute ischemic stroke is not a thrombolysis candidate. BP is 210/110 mm Hg. What BP management strategy is recommended acutely?

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Correct answer: A — Permissive hypertension up to ≤220/120 mm Hg in the first 24-48 hours

AHA/ASA guidance supports permissive hypertension with BP ≤220/120 mm Hg in AIS patients not receiving thrombolysis during the first 24-48 hours. Rapid aggressive lowering risks worsened cerebral perfusion; nitroprusside to SBP <120 is inappropriate; close monitoring is essential.

Reference: AHA/ASA Guideline (2019): Early Management of Acute Ischemic Stroke