Intensive blood-pressure lowering in patients with acute cerebral hemorrhage

CJEM. 2018 Mar;20(2):256-259. doi: 10.1017/cem.2017.35. Epub 2017 Jun 9.

Abstract

Clinical question Is intensive blood pressure (BP) treatment (systolic BP target 110-139 mm Hg) better than standard antihypertensive treatment (systolic BP target 140-179 mm Hg) in reducing mortality and disability in patients with acute intracerebral hemorrhage (ICH)? Article chosen Qureshi AI, Palesch YY, Barsan WG, et al. Intensive blood-pressure lowering in patients with acute cerebral hemorrhage. N Engl J Med 2016;375(11):1033-43.

Objective: To determine the therapeutic benefit of intensive BP treatment compared to standard BP treatment in reducing death and disability after 3 months of follow-up among patients with ICH treated within 4.5 hours from onset of symptoms.

Keywords: ICH; blood pressure; intensive; intracerebral hemorrhage; labetalol; nicardipine.

Publication types

  • Comment

MeSH terms

  • Antihypertensive Agents
  • Blood Pressure / drug effects
  • Blood Pressure Determination
  • Cerebral Hemorrhage
  • Humans
  • Hypertension*

Substances

  • Antihypertensive Agents