Aggressive BP Management in Patients with ICH

Check out my guest post at EMDocs.net here: http://www.emdocs.net/aggressive-bp-management-patients-ich/

Bottom Line:
Early BP reduction in ICH is safe and probably efficacious, although the data doesn’t definitively say so yet.  The AHA still recommends “modest” reduction if SBP>180 or MAP>130 to a goal of 160/90 or MAP of 110, but the ATACH results may prompt a change in the guidelines…we shall see.  Also worth noting, the ADAPT trial confirms that perihematoma blood flow is maintained even in those with aggressive BP lowering.  So, if you’re feeling rather aggressive, lower away!  BP lowering will not harm your patient with ICH, and may help.