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WSC 2022 | Current guidelines for the acute management of hemorrhagic stroke

Hanne Christensen, MD, PhD, MSci, University of Copenhagen, Copenhagen, Denmark, shares an overview of the standards of care recommended for the acute management of intracerebral hemorrhage (ICH). Time is of the essence in ICH care, as the major goal is to prevent further bleeding. Prof. Christensen notes that anticoagulation reversal should be given as quickly as possible, with her institution aiming to treat within 20 minutes. Controlling blood pressure (BP) is another important aspect that can contribute significantly to hematoma expansion and consequently, rates of disability and death. Guidelines suggest lowering systolic BP to below 140mmHg is optimal. Beyond pharmacological management, good stroke unit care is of critical importance to minimize the occurrence of common complications such as infection, venous thromboembolism, and delirium. This interview took place at the World Stroke Congress 2022 in Singapore.

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Hanne Christensen is national lead for the ANNEXA-i trial and has received speaker’s honoraria from BMS and Bayer.