Management of Blood Pressure in Stroke Patients

This vignette details the clinical decision support (CDS) that was developed to assess and manage blood pressure in acute ischemic stroke including an overview of the American Heart Association’s latest Stroke Guidelines for the management of blood pressure in different types of stroke (acute ischemic stroke, intracerebral hematoma and subarachnoid hemorrhage).

Samaritan Physicians: Successful completion of this activity will qualify Samaritan physicians for annual policy discounts. Upon completion, please print your certificate and submit to Samaritan for consideration.

Original Release Date: December 2020
Course Review Date: August 2023

Target Audience

Hospitalists, Internal Medicine Physicians, Physician Assistants, Emergency Department Physicians, Intensivists, Neuro Intensivists, Neuro Endovascular Surgeons, Neurointerventional Radiologists, Neurosurgeons and Neurologists.

Learning Objective

  • Apply clinical decision support for blood pressure management in acute ischemic stroke.
Additional information
Bibliography: 
  • Akbik, O. S., Carlson, A. P., Krasberg, M., & Yonas, H. (2016). The Utility of Cerebral Blood Flow Assessment in TBI. Current Neurology and Neuroscience Reports, 16(8).
  • González, R. G., & Schwamm, L. H. (2016). Imaging acute ischemic stroke. In Handbook of Clinical Neurology (pp. 293–315). Elsevier.
  • Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., Biller, J., Brown, M., Demaerschalk, B. M., Hoh, B., Jauch, E. C., Kidwell, C. S., Leslie-Mazwi, T. M., Ovbiagele, B., Scott, P. A., Sheth, K. N., Southerland, A. M., Summers, D. V., & Tirschwell, D. L. (2019). Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke, 50(12).
  • Bang, O. Y., Chung, J. W., Kim, S. K., Kim, S. J., Lee, M. J., Hwang, J., Seo, W. K., Ha, Y. S., Sung, S. M., Kim, E. G., Sohn, S. I., & Han, M. K. (2019). Therapeutic-induced hypertension in patients with noncardioembolic acute stroke. Neurology, 93(21), e1955–e1963.
  • Dastur, C. K., & Yu, W. (2017). Current management of spontaneous intracerebral haemorrhage. Stroke and vascular neurology, 2(1), 21–29.
  • Connolly, E. S., Jr, Rabinstein, A. A., Carhuapoma, J. R., Derdeyn, C. P., Dion, J., Higashida, R. T., Hoh, B. L., Kirkness, C. J., Naidech, A. M., Ogilvy, C. S., Patel, A. B., Thompson, B. G., & Vespa, P. (2012). Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage. Stroke, 43(6), 1711–1737.
Course Summary
Available credit: 
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 General certificate of attendance
Course opens: 
12/01/2020
Course expires: 
07/31/2025
Part of: 
Evidence-Based Clinical Care: Pathway Updates e-Learning Series

Felipe De Los Rios, M.D., FAHA
Medical Director, Baptist Hospital Comprehensive Stroke Center &
Miami Neuroscience Institute Stroke Network 
Voluntary Associate Professor of Neurology
University of Cincinnati Department of Neurology & Rehabilitation Medicine
Florida International University, Herbert Wertheim College of Medicine

Vignettes developed and designed by the Evidence-Based Clinical Care Team.

Content Contributors

  • Meagan Rodriguez
  • Henry Triana Jr.

Felipe De Los Rios La Rosa, M.D., faculty for this educational activity, has no relevant financial relationship with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Content contributors have no relevant financial relationships with ineligible companies* to disclose and have indicated that the presentations or discussions will not include off-label or unapproved product usage. 

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 General certificate of attendance
Please login or register for a Baptist Health CME account to take this course.

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