Lowering blood pressure in suspected stroke

Bernd W. Böttiger

A patient with suspected stroke transported by the emergency medical services is expected to have high blood pressure. What is the threshold value that warrants the attempts to lower blood pressure by the ambulance crew?

Bernd W. Böttiger: We should be very careful in lowering blood pressure. In the past, in many cases this was done too fast and too much. I would be happy to recommend a blood pressure of 180 or maybe 160/180 mm Hg as systolic blood pressure – but not lower.

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