The management of hypertension for an acute stroke: What is the blood pressure goal?

Philip B. Gorelick*, Venkatesh Aiyagari

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Stroke is the 4th leading cause of death in the US and a leading cause of disability among adults. Stroke is broadly classified into ischemic and hemorrhagic subtypes. Although the pathogenesis may differ between ischemic and hemorrhagic stroke subtypes, a unifying feature is that hypertension is a major risk factor for most ischemic and hemorrhagic strokes. Prevention of first and recurrent stroke is substantially dependent on blood pressure control. There is controversy about blood pressure management in acute stroke. In this review we discuss controversies about and guidelines for management of blood pressure in acute stroke. We subdivide our discussion to address important questions about acute blood pressure management in ischemic stroke, intraparenchymal hemorrhage, and subarachnoid hemorrhage. In addition, we address BP control recommendations when tissue plasminogen activator administration is being contemplated for treatment of acute ischemic stroke.

Original languageEnglish (US)
Article number366
JournalCurrent Cardiology Reports
Issue number6
StatePublished - Jun 2013


  • Acute stroke
  • Blood pressure
  • Guidelines
  • Hemorrhagic stroke
  • Hypertension
  • Ischemic stroke
  • Mean arterial pressure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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