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Blood Pressure Management in Ischemic Stroke Patients Undergoing Mechanical Thrombectomy by Michael De Georgia; Theodore Bowen; K. Rose Duncan; Alex Bou Chebl is a Medicine article available to read on EtoBox.

What is Blood Pressure Management in Ischemic Stroke Patients Undergoing Mechanical Thrombectomy about?

The relationship between presenting blood pressure in acute ischemic stroke patients and outcome is complex. Several studies have demonstrated a U-shaped curve with worse outcomes when blood pressure is high or low. The American Heart Association/American Stroke Association guidelines recommend values of blood pressure < 185/110 mmHg in patients treated with intravenous t-PA and “permissive hypertension” up to 220/120 mmHg in those not treated with intravenous t-PA. The optimal blood pressure target is less clear in patients undergoing mechanical thrombectomy. Before thrombectomy, the guidelines recommend a blood pressure < 185/110 mmHg though patients with even lower systolic blood pressures may have better outcomes. During and after thrombectomy, the guidelines recommend a blood pressure 140 mmHg or MAP > 70 mmHg). After thrombectomy, the primary goal should be to prevent high blood pressure (e.g., target systolic blood pressure < 160 mmHg or MAP < 90 mmHg). To make more specific recommendations, large, randomized-control studies are needed that address factors such as the baseline blood pressure, timing and degree of revascularization, status of collaterals, and estimated risk

Who reads Blood Pressure Management in Ischemic Stroke Patients Undergoing Mechanical Thrombectomy?

Author

Michael De Georgia; Theodore Bowen; K. Rose Duncan; Alex Bou Chebl

Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)