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).

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: 
07/31/2023

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 to take this course.

Required Hardware/software

PC/Mac Users
PC/Mac Users

This site is supported on the most recent stable releases of the following browsers:

Click Here to Download Google Chrome
Google Chrome
Microsoft Edge
Microsoft Edge
Safari
Safari
Moxilla Firefox
Mozilla Firefox
Internet Explorer

Attention: Internet Explorer Users
This site offers limited support for Internet Explorer 11 (IE11). When using IE11, you will be prompted to download course videos instead of viewing them in the browser. After the course video downloads, the recordings will play.

Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.