European Stroke Organisation (ESO) Guidelines on Blood Pressure Management in Acute Ischaemic Stroke and Intracerebral Haemorrhage

Published by ESO on May 11, 2021

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Abstract

Language

en

PICOS

PICO 1.1

Population
Patients with suspected stroke in the pre-hospital setting
Intervention
Any vasodepressor drug
Comparator
No vasodepressor drug
Outcomes

PICO 2.1

Population
Patients with acute ischaemic stroke not treated with reperfusion therapies
Intervention
Any vasodepressor drug
Comparator
No vasodepressor drug
Outcomes

PICO 3.1

Population
Hospitalised patients with acute ischaemic stroke and undergoing intravenous thrombolysis (with or without mechanical thrombectomy)
Intervention
Intensive systolic blood pressure lowering
Comparator
Guideline-recommended systolic blood pressure levels
Outcomes

PICO 4.1

Population
Patients with anterior circulation large vessel occlusion after successful mechanical thrombectomy
Intervention
Systolic blood pressure <130mmHg
Comparator
Systolic blood pressure <180mmHg
Outcomes

PICO 5.1

Population
Patients with acute ischaemic stroke not treated with reperfusion therapies and with clinical deterioration
Intervention
Induced hypertension by any vasopressor drug
Comparator
No drug
Outcomes

PICO 6.1

Population
Patients with acute ischemic stroke
Intervention
Continuing previous blood-pressure lowering therapy
Comparator
Stopping previous blood-pressure lowering therapy
Outcomes

PICO 7.1

Population
Patients with acute intracerebral haemorrhage
Intervention
Intensive blood pressure lowering with any vasodepressor drug
Comparator
Outcomes

PICO 8.1

Population
Patients with acute intracerebral hemorrhage
Intervention
Continuing previous blood-pressure lowering therapy
Comparator
Temporarily stopping previous blood-pressure lowering therapy
Outcomes