Acute Cerebrovascular Conditions · Haemodynamics · ICP/CPP management

Best BETs – Safe to Lower BP in ICH?

A quick review published in BMJ´s Best Evidence Topic Reports series, April 2016 by Kapil Mohan Rajwani and Azlisham Mohd Nor. They address the issue of lowering elevated blood pressures in patients with an acute ICH. Is it safe and is there evidence to support active BP-management? And if yes, what´s our target?

Targeted blood pressure management in the hyperacute and acute stages following spontaneous intracerebral haemorrhage (abstract).

“Overall, the current evidence suggests in patients with hypertension (SBP between 150 mm Hg and 220 mm Hg) following spontaneous intracerebral haemorrhage, intensive lowering of SBP to a target of less than 140 mmHg in the hyperacute and acute stages is safe and may improve functional recovery.”

There´s also a nice summary of this mini-review by our colleagues at Scancrit.com.

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