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Intracerebral hemorrhage patients presenting with normal blood pressure

Journal of Human Hypertension volume 30, pages 352–353 (2016)Cite this article

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There are patients with intracerebral hemorrhage (ICH) who present with blood pressure (BP) values below the standard treatment threshold recommended by the American Heart Association/American Stroke Association (AHA/ASA; systolic <150 mm Hg). Specific data on this category of ICH patients is, however, scarce. In this study, we looked at the proportion of ICH patients who present with systolic BP <150 mm Hg, their clinical/radiological features, initial severity and discharge outcomes. We determined that ~1 in 10 ICH patients presents with systolic BP <150 mm Hg, and the majority are lobar. Moreover, presentation with systolic BP lower than the standard treatment threshold has no association with initial severity or discharge outcomes.

The cornerstone of acute therapy for patients with intracerebral hemorrhage (ICH) is BP control, notwithstanding the absence of convincing evidence that acute BP lowering has a positive impact on outcomes. Currently, it is the recommendation of the AHA/ASA that BP be lowered in ICH patients presenting with a systolic value ⩾150 mm Hg.1 This leaves a management gap with regard to patients who present with systolic BP <150 mm Hg. The aim of this study was to determine the proportion of ICH patients who present with systolic BP <150 mm Hg, their clinical features, severity and discharge outcomes.

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Authors and Affiliations

  1. Comprehensive Neurovascular Centre, The Ohio State University Wexner Medical Centre, Columbus, OH, USA

    N A Grose

  2. Division of Cerebrovascular Diseases and Neurosciences Critical Care, Department of Neurology, The Ohio State University College of Medicine, Columbus, OH, USA

    S Hafeez & S A Mutgi

  3. Department of Neurology, University of Texas School of Medicine at San Antonio, San Antonio, TX, USA

    R Behrouz

Authors
  1. N A Grose
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  2. S Hafeez
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  3. S A Mutgi
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  4. R Behrouz
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Correspondence to R Behrouz.

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Grose, N., Hafeez, S., Mutgi, S. et al. Intracerebral hemorrhage patients presenting with normal blood pressure. J Hum Hypertens 30, 352–353 (2016). https://doi.org/10.1038/jhh.2015.82

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