Emergency Department Adherence to American Heart Association Guidelines for Blood Pressure Management in Acute Ischemic Stroke | Zendy

Erin McDonough Grise | Zendy; Opeolu Adeoye | Zendy; Christopher J. Lindsell | Zendy; Kathleen Alwell | Zendy; Charles J. Moomaw | Zendy; Brett Kissela | Zendy; Dan Woo | Zendy; Matthew L. Flaherty | Zendy; Simona Ferioli | Zendy; Pooja Khatri | Zendy; Joseph P. Broderick | Zendy; Dawn Kleindorfer | Zendy

Open Access

Emergency Department Adherence to American Heart Association Guidelines for Blood Pressure Management in Acute Ischemic Stroke

Author(s) -

Erin McDonough Grise,

Opeolu Adeoye,

Christopher J. Lindsell,

Kathleen Alwell,

Charles J. Moomaw,

Brett Kissela,

Dan Woo,

Matthew L. Flaherty,

Simona Ferioli,

Pooja Khatri,

Joseph P. Broderick,

Dawn Kleindorfer

Publication year - 2011

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.111.637983

Subject(s) - medicine , blood pressure , emergency department , stroke (engine) , surgery , cardiology , mechanical engineering , psychiatry , engineering

Severely elevated blood pressure (BP) and aggressive BP reduction are both associated with poor outcome in acute ischemic stroke (AIS). In nontissue-type plasminogen activator patients, the American Heart Association recommends antihypertensive therapy only if BP is ≥ 220/120 mm Hg with a goal of 15% to 25% reduction in the first 24 hours. We hypothesized that patients with AIS often receive antihypertensives in the emergency department below the recommended threshold and that BP reduction is often >20%.

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