ارتفاع ضغط الدم في السكتة الدماغية الإقفارية الحادة: ما هو العلاج؟

References

DOI: 10.1161/CIR.0000000000001356

• Patients who have elevated BP and are otherwise eligible for treatment with IV thrombolytics should have their BP lowered to SBP <185 mm Hg and DBP <110 mm Hg before IV thrombolytic therapy is initiated and should be maintained below 180/105 mm Hg for at least the first 24 hours after initiating thrombolytic therapy to avoid complications.
• In patients who undergo endovascular treatment, it is reasonable to maintain the BP at <=180/105 mm Hg during and for 24 hours after the procedure to improve long-term functional outcomes and prevent death.
• In patients with BP of >=220/120 mm Hg who did not receive IV thrombolytic or endovascular treatment and have no comorbid conditions requiring acute antihypertensive treatment, it might be reasonable to lower BP by 15% during the first 24 hours after onset of stroke to improve outcomes.
• In patients with acute ischemic stroke, hypotension and hypovolemia should be corrected to maintain systemic perfusion levels necessary to support organ function.