Question

A 58-year-old woman with long-standing uncontrolled hypertension presents with a severe occipital headache, vomiting and neck stiffness. BP is 210/120 mmHg. CT head shows a subarachnoid haemorrhage. What is the MOST appropriate immediate blood pressure management target?

Accepted Answer

Maintain systolic BP <140 mmHg while avoiding hypotension

Answer

Lower BP rapidly to systolic <100 mmHg

Answer

Do not treat hypertension acutely

Answer

Lower BP to diastolic <60 mmHg regardless of systolic

Answer

Start ACE inhibitor titrated over weeks

Practice question

A 58-year-old woman with long-standing uncontrolled hypertension presents with a severe occipital headache, vomiting and neck stiffness. BP is 210/120 mmHg. CT head shows a subarachnoid haemorrhage. What is the MOST appropriate immediate blood pressure management target?