Blood pressure management in acute stroke.
Blood pressure (BP) is the major determinant of cerebral perfusion yet blood pressure management in acute stroke is complex and controversial. Optimized blood pressure management may improve outcomes in patients with ischemic and hemorrhagic stroke although the available data are conflicting and target BP goals are not well defined. We review the current literature, published guidelines, and emerging research on this important topic. Additionally, the treatment algorithm which we employ is discussed.
Mullen
M T
MT
Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
McKinney
J S
JS
Kasner
S E
SE
D000465:Algorithms; D001794:Blood Pressure; D020520:Brain Infarction / Q000150:complications / Q000503:physiopathology*; D002543:Cerebral Hemorrhage / Q000150:complications / Q000503:physiopathology*; D002560:Cerebrovascular Circulation; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000209:etiology; D017410:Practice Guidelines as Topic