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STROKE-HTN MANAGEMENT

Neurology

STROKE-HTN MANAGEMENT

1. Beware that anti-hypertensive medications can lower cerebral perfusion leading to worsening of the stroke.

2. AHA recommendations for HTN management in ischemic stroke, non-thrombolytic candidates: treat if SBP > 220mmHg, DBP > 120mmHg, MAP > 120mmHg.

3. AHA recommendations for HTN management in ischemic stroke, thrombolytic candidates: treat if SBP > 185mmHg, DBP > 110mmHg.

4. HTN management in hemorrhagic stroke is controversial, with frequent practice to treat if SBP > 160mmHg. Agent of choice: IV Labetolol (does not cause cerebral vasodilatation).


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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