In patients with hemorrhagic stroke, control of blood pressure is important to prevent further hemorrhage. However, it is important to rule out the occurrence of hypertension secondary to increase in ICP (Cushing's response), in which event the mean arterial pressure should be reduced gradually, and not below 130 mmHg in known hypertensive patients, and lower
(100 mmHg) in previously normotensive patients. On the other hand, mild-to-moderate hypertension (160-180 systolic and 90-100 diastolic blood pressure) should be left untreated in patients with ischemic stroke. Vasopressors to support blood pressure may be necessary.
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