Chart 10.2. – Therapeutic targets and recommendations for acute stroke and cerebrovascular disease patients.

Recommendations	RC	LE
AVEH Do not lower BP in patients with SBP < 220 mm Hg If SBP ≥ 220 mm Hg, use IV medications, with target SBP 180 mm Hg	III IIa	A B
AVEI Lowering BP is not recommended, except for patients eligible for thrombolysis. In that case, maintain BP < 180/105 mm Hg	III IIa	B B
Transient ischemic attack Immediate decrease	I	A
Goal: keep SBP between 120 and 130 mm Hg after event	I	A
Secondary prevention Use renin-angiotensin system blockers + calcium channel blockers or thiazide diuretics	I	A

  LE: level of evidence; RC: recommendation class; SBP: systolic blood pressure.