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
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.Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischemic stroke.JAMA. 2013; 309: 2480-2488
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