Pre–Tissue Plasminogen Activator Blood Pressure Levels and Risk of Symptomatic Intracerebral Hemorrhage
Author(s) -
Georgios Tsivgoulis,
James L. Frey,
Murray Flaster,
Vijay K. Sharma,
Annabelle Y. Lao,
Steven L. Hoover,
Wei Liu,
Elefterios Stamboulis,
Anne W. Alexandrov,
Marc Malkoff,
Andrei V. Alexandrov
Publication year - 2009
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.109.564096
Subject(s) - medicine , blood pressure , contraindication , thrombolysis , tissue plasminogen activator , stroke (engine) , intracerebral hemorrhage , anesthesia , surgery , myocardial infarction , subarachnoid hemorrhage , pathology , mechanical engineering , alternative medicine , engineering
From small pilot studies, uncontrolled pretreatment systolic blood pressure >185 mm Hg and diastolic blood pressure >110 mm Hg in patients with acute ischemic stroke were introduced in the National Institute of Neurological Diseases and Stroke rtPA Stroke Study as a contraindication for thrombolysis. We sought to determine if pretreatment blood pressure protocol violations in patients with acute ischemic stroke receiving intravenous tissue plasminogen activator are related to the subsequent risk of symptomatic intracranial hemorrhage (sICH).
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