Question

A 68-year-old with ischemic stroke 2 hours after onset has BP 188/110 mm Hg. He is otherwise a candidate for IV alteplase. Pre-thrombolysis BP goal?

Accepted Answer

Lower to <185/110 before alteplase

Answer

No BP treatment unless >220/120

Answer

Lower to <160/90 before alteplase

Answer

Lower to <200/110 before alteplase

Answer

Avoid lowering BP due to risk of hypoperfusion

Practice question

A 68-year-old with ischemic stroke 2 hours after onset has BP 188/110 mm Hg. He is otherwise a candidate for IV alteplase. Pre-thrombolysis BP goal?