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Stroke· 2022Q1· Guideline

2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

Steven M. Greenberg, Wendy Ziai, Charlotte Cordonnier, Dar Dowlatshahi et al.

Short summary

The 2022 AHA/ASA guideline updates recommendations for managing spontaneous intracerebral hemorrhage (ICH), emphasizing early blood pressure reduction and surgical intervention criteria.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Recommends early, aggressive blood pressure reduction to SBP 130-150 mmHg within 1 hour for supratentorial ICH.
  • Suggests considering surgical evacuation for ICH patients with cerebellar hemorrhage and neurological deterioration or mass effect.
  • Provides guidance on managing coagulopathy, including reversal agents and platelet transfusions.
  • Highlights the importance of intensive care unit monitoring and management of secondary brain injury.

AI-generated from the title and abstract; the full text is not read.

Abstract

International audience

The authors' abstract, as published at the source. Stroke, 2022 · DOI ↗

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Field: Neurology (Medicine)

NeurologyMedicine