Question

A 40-year-old woman presents to the ED with sudden severe thunderclap headache, vomiting and neck stiffness. CT brain confirms subarachnoid haemorrhage from a ruptured aneurysm. Her BP is 190/110 mmHg. According to stroke and neurocritical care guidance, what is the most appropriate immediate blood pressure management?

Accepted Answer

Lower systolic BP cautiously to around 140-160 mmHg while avoiding hypotension

Answer

No BP management is required until after aneurysm repair

Answer

Rapidly reduce systolic BP to <100 mmHg

Answer

Start high-dose IV nitrates to reduce BP below 120 mmHg

Answer

Allow BP to remain elevated to maintain cerebral perfusion

Practice question