Question

A 60-year-year-old man has a sudden onset of right-sided weakness and difficulty speaking. CT head shows an ischaemic stroke in the left middle cerebral artery territory. Blood pressure is 185/100 mmHg. Regarding blood pressure management in the acute phase, which is correct?

Accepted Answer

Do not treat unless BP >185/110 mmHg in thrombolysis candidates

Answer

Aggressive BP lowering to <140/90 mmHg is mandatory

Answer

Immediate intravenous nitrates regardless of BP

Answer

Long-term antihypertensives should be initiated immediately

Answer

Stop all antihypertensives for 1 week

Practice question

A 60-year-year-old man has a sudden onset of right-sided weakness and difficulty speaking. CT head shows an ischaemic stroke in the left middle cerebral artery territory. Blood pressure is 185/100 mmHg. Regarding blood pressure management in the acute phase, which is correct?