This case involves a 57-year-old man with a history of high blood pressure who presented to the emergency room with chest pain and hypertensive urgency. At intake, his blood pressure was over 200 systolic and was rapidly lowered within a 5 hour period. However, he suffered a stroke almost immediately afterwards. Although he slowly recovered, he remained in a comatose state for over a week and suffered dysphasia.
I treat patients like this very often, on a weekly basis. The standard of care in a case like this is to lower the blood pressure to relieve the patient’s symptoms, but not too aggressively to cause harm to the patient. I have never treated a patient that experienced a complication such as this (a stroke).
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