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. 2023 Feb 15;29:11. doi: 10.1186/s40885-023-00234-9
Recommendation Class Level Reference
In patients with acute ICH presenting within 6 hours of the onset who have an SBP level between 150 and 220 mmHg, rapid lowering of SBP to 140 mmHg may be considered. However, excessive BP lowering (SBP < 140 mmHg) is not usually recommended because it does not have additional benefit on functional outcome and potentially increases the risk of renal dysfunction. IIb A [165, 166]
In patients with acute ICH who have an elevated SBP > 220 mmHg, it is reasonable to reduce BP with intravenous antihypertensive agent infusion along with close BP monitoring. IIa C [167169]