Question

A 64-year-old man with long-standing hypertension presents with acute intracerebral haemorrhage confirmed on CT. His systolic blood pressure is 210 mm Hg. There is no evidence of raised intracranial pressure or need for emergent neurosurgery. According to Canadian stroke best practice recommendations, which blood pressure target over the next 24 hours is most appropriate?

Accepted Answer

Lower systolic BP to 140-160 mm Hg using intravenous agents

Answer

Reduce systolic BP to <220 mm Hg and avoid further therapy

Answer

Rapidly reduce systolic BP to <110 mm Hg within 1 hour

Answer

Lower systolic BP to <120 mm Hg within 2 hours

Answer

Avoid treating blood pressure in the first 24 hours

Practice question