علاج أزمة ارتفاع ضغط الدم في النزيف الدماغي الحاد

In acute intracerebral haemorrhage, an increased BP is common and is associated with a greater risk of haematoma expansion and death, and a worse prognosis for neurological recovery.

In patients with intracerebral haemorrhage, immediate BP lowering (within 6 h of symptom onset) should be considered to a systolic target 140–160 mmHg to prevent haematoma expansion and improve functional outcome.

In patients with intracerebral haemorrhage presenting with systolic BP ≥220 mmHg, acute reduction in systolic BP >70 mmHg from initial levels within 1 h of commencing treatment is not recommended.

DOI: 10.1093/eurheartj/ehae178