Most recurrent haemorrhage after ICH is preventable by blood pressure control, but clinic readings miss the average. Ask patients to buy a validated upper-arm monitor and record two morning and two evening readings for a week before each review.
Titrate to the home average, not the single clinic figure. Combination therapy at low doses usually gets there faster and with fewer side effects than maximising one drug.
- Use a validated upper-arm device.
- Seven days of twice-daily paired readings before review.
- Titrate on the home average.
- Prefer low-dose combinations over one drug at maximum dose.
Why it matters
The benefit shown in trials depends on pressure actually being lowered, which clinic readings often misjudge.
Read the rest in the app
You have read your two free briefings this month. The app carries all 27 specialties, every morning, free — and this finding is waiting in it.
Scan to keep reading on your phone. No account needed to start.
Tomorrow morning, before your first patient
One edition a day for neurology, written by the desk, every claim tied to its paper. Six minutes.
Get the app — free