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Birendra Kumar Bista

Birendra Kumar Bista

Neuro Cardio & Multispeciality Hospital Pvt. Ltd., Nepal

Title: Blood pressure optimization in different types of stroke a systemic review

Biography

Biography: Birendra Kumar Bista

Abstract

Stroke alters the cerebral auto regulation as a result blood pressure is elevated in most of the stroke patients. Diff erent stroke types namely, intra cerebral hemorrhage, ischemic infarct and SAH (subarachnoid hemorrhage) each require diff erent ranges of BP
(blood pressure) optimization to maintain CPP and MAP. Inappropriate ranges of BP result as rebleed, infarct evolution and cerebraledema. The stroke types require diff erent MAP (mean arterial pressure), CPP (cerebral perfusion pressure), systolic blood pressure (SBP) and diastolic blood pressure (DBP) to maintain adequate cerebral perfusion. Blood pressure optimization is among one of the most important steps in neuroprotection. This systemic review presents the latest updates in BP management in acute stroke. It also stipulates recommended ranges of CPP, MAP, ICP (intracranial pressure), SBP and DBP, for acute stroke management. Emphasis on, injectable anti hypertensives only in acute stroke is given and commonly used IV (intravenous) agents are also listed.
 
Recent Publications : 
1. Singh S, Gan H, Marasigan S and Navarro J C (2011) Co-occurrence of intraventricular hemorrhage and total anterior
circulation infarction in an 80 year old female: A case report. Post Graduate Medical Journal of NAMS 11(1):56-58.
 
2. Singh S (2017) Phenobarbital treatment for malignant infarcts. Neuro: A Peer Review Journal of Neurology ISSN: 2392-
4462.
 
3. Abrams E M, Becker A B and Gerstner T V (2011) Anaphylaxis related to avocado ingestion: A case and review. Allergy,
Asthma & Clinical Immunology 7:12.
 
4. Singh S and Devkota U P (2016) Guidelines for early specifi c management of acute stroke. Ultimate Marketing ISBN:
978-9937-0-0480-0.
 
5. Singh S (2016) Neurocritical care a case based approach. Ultimate Marketing ISBN 978-9937-8506-3-6.