Question

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?

Accepted Answer

Permissive hypertension up to ≤220/120 mm Hg in the first 24-48 hours

Answer

Aggressively lower to SBP <140 within 1 hour

Answer

Start IV nitroprusside to lower to SBP <120

Answer

No BP monitoring needed

Answer

Target DBP <60 regardless of SBP

Practice question

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?