Treatment of hypertension in association with stroke
BP management in acute ischemic stroke (onset to 72 hours)
- For guidelines on BP management in acute ischemic stroke, refer to the current Canadian Stroke Best Practices recommendations (www.strokebestpractices. ca/recommendations).
BP management after acute ischemic stroke
- Strong consideration should be given to the initiation of antihypertensive therapy after the acute phase of a stroke or transient ischemic attack (Grade A).
- After the acute phase of a stroke, BP-lowering treat-ment is recommended to a target of consistently < 140/90 mm Hg (Grade C).
- Treatment with an ACE inhibitor and thiazide/thiazide-like diuretic combination is preferred (Grade A).
- For patients with stroke, the use of an ACE inhibitor with an ARB is not recommended (Grade B).
BP management in hemorrhagic stroke (onset to 72 hours)
- For guidelines on BP management in acute hemor-rhagic stroke, refer to the current Canadian Stroke Best Practices recommendations (www.strokebestpractices. ca/recommendations).