acute stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. aged =18 years; 2. Acute syndrome that is due to presumed acute stroke, defined as FAST(Face, Arm, Speech, Time) scores of =2 with an arm motor deficit and time =2 hours from last seen well; 3. Systolic BP =150mmHg; 4. Able to provide brief informed consent (if a waver of consent is not approved by the ethics committee).
Exclusion criteria
Exclusion criteria: 1. Coma – no response to tactile stimuli or verbal stimuli; 2. Severe co-morbid disease (e.g. cancer, chronic airflow disease, severe heart failure); 3. History of epilepsy or seizure at onset; 4. History of recent head injury (<7 days); 5. Known definite contraindication to an intensive BP lowering regimen (eg severe carotid, vertebral or cerebral arterial stenosis, known Moya Moya disease or Takayasus arteritis, high-grade stenotic valvular heart disease, or severe renal failure); 6. Known advanced dementia or significant pre-stroke disability (eg mRS scores 3-5); 7. A high likelihood that the patient will not adhere to the study treatment and follow-up regimen.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In cases of confirmed intracerebral haemorrhage (ICH), haematoma volume at 24 hours after stroke onset; | — |
Secondary
| Measure | Time frame |
|---|---|
| aematoma volume at presentation and degree of expansion over 24 hours;cerebral infarct size on MRI within 2 days in patients with acute ischaemic stroke (AIS); time to and frequency of reperfusion treatment (thrombolysis and/or thrombectomy); frequency of reperfusion treatment (thrombolysis and/or thrombectomy) related ICH;;death or neurological deterioration on the National Institute of Health stroke scale (NIHSS) at 24 hours and 7 days;length of hospital stay;functional shift (improvement) in mRS scores at 90 days (3 months); | — |
Countries
China
Contacts
The George Institute For Global Health At Peking University Health Science Center