WSC 2025 | Blood pressure control in ICH: guidance for practicing clinicians
Craig Anderson, MD, PhD, The George Institute for Global Health, Sydney, Australia, gives guidance on blood pressure control in intracerebral hemorrhage. Prof. Anderson highlights the importance of early and intensive blood pressure control and the use of a bundle of care, including multiple blood pressure medications. This interview took place at the 17th World Stroke Congress (WSC) in Barcelona, Spain.
These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.
Transcript
So many of you will know that I’ve spent over a decade showing the importance of early, intensive, smooth control of blood pressure in people who present with an intracerebral hemorrhage. As soon as you show that there’s blood on the CT scan, you have to get that blood pressure under good control. And there’s general consensus now based on all of the evidence to achieve this under 140 systolic in an hour, ideally within 30 minutes...
So many of you will know that I’ve spent over a decade showing the importance of early, intensive, smooth control of blood pressure in people who present with an intracerebral hemorrhage. As soon as you show that there’s blood on the CT scan, you have to get that blood pressure under good control. And there’s general consensus now based on all of the evidence to achieve this under 140 systolic in an hour, ideally within 30 minutes. So there’s a lot of effort now to work to ensure early and intensive blood pressure control in the context of a bundle of care as early as possible. And many of you may have heard of this new metric called CODE-ICH, that we should take the condition as seriously and run and work quickly with time parameters in the same way that we manage patients with acute ischemic stroke and reperfusion therapy. Based on TRIDENT, we now need to use the same approach when we’re thinking about secondary prevention. We should not let the patient leave hospital unless they’re on multiple blood pressure pills with very good control and follow them up early to ensure that that level of control is achieved well. The reality is a single pill is not going to do it. You have to explain to the patients they need multiple treatments. The combination of half doses provides a proven strategy ideally within a single pill to make it easier for the patients to take the medication and we need to empower the patients to understand and take their blood pressure control more easily according to defined protocols.
This transcript is AI-generated. While we strive for accuracy, please verify this copy with the video.
Read more...
