Hypertension Management in Acute Neurovascular Emergencies

In this presentation, a summary of the current state of the art management of elevated blood pressure in the setting of neurovascular emergencies is provided. The clinician must balance two competing concerns when treating patients with neurovascular emergencies and elevated blood pressure. The first is the potential for acutely elevated blood pressure to lead to injury in multiple vascular beds, including hemorrhage in the brain and elsewhere. The second concern is that reduction of blood pressure can compromise tissue with marginal perfusion, also potentially causing harm.