Deans' stroke musings: Challenging the management of blood pressure before intravenous thrombolysis in acute ischaemic stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, May 20, 2024

Challenging the management of blood pressure before intravenous thrombolysis in acute ischaemic stroke

So our stroke medical 'professionals' still have NO FUCKING CLUE on how to address blood pressure management at any point during a stroke. Incompetence in full display. Leaders would solve such problems! There are NO leaders anywhere in stroke!

blood pressure management (82 posts to June 2017)

Challenging the management of blood pressure before intravenous thrombolysis in acute ischaemic stroke

Verónica V Olavarría

Published:May 16, 2024DOI:https://doi.org/10.1016/S1474-4422(24)00208-4

Intravenous thrombolysis improves functional outcomes for patients with acute ischaemic stroke. Earlier treatment is associated with better outcomes, including more independent ambulation and reduced symptomatic intracranial haemorrhage.

Elevated blood pressure is common in people with acute stroke—up to 13% of patients present with a systolic blood pressure higher than 185 mm Hg.

Acute blood pressure reduction is mandatory(Really? Ischemic vs. hemorrhagic? Do you even know what the fuck you're talking bout? You better not go to a hospital that incompetently listens to this without thinking!) for the administration of intravenous thrombolysis, as elevated blood pressure before the procedure has been associated with a risk of symptomatic intracranial haemorrhage and a poor prognosis.

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References

1.
- Saver JL
- Fonarow GC
- Smith EE
- et al.
Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischemic stroke.
JAMA. 2013; 309: 2480-2488
View in Article