Towards evidence based emergency medicine: Best BETs from the Manchester Royal Infirmary. BET 1: Targeted blood pressure management in the hyperacute and acute stages following spontaneous intracerebral haemorrhage

Emerg Med J. 2016 Feb;33(2):159-62. doi: 10.1136/emermed-2016-205681.1.

Abstract

A short cut review was carried out to establish whether targeted blood pressure management in the hyperacute and acute stages following spontaneous intracerebral haemorrhage. 275 papers were found of which 6 presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. The clinical bottom line is the current evidence suggests in patients with hypertension following spontaneous intracerebral haemorrhage, intensive lowering of SBP to a target of less than 140mmHg in the hyperacute and acute stages is safe and may improve functional recovery.

Publication types

  • Review

MeSH terms

  • Cerebral Hemorrhage / complications*
  • Evidence-Based Emergency Medicine*
  • Humans
  • Hypertension / etiology*
  • Hypertension / prevention & control*