In this video, Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will talk about whether in a patient with paralysis, they should treat the acute rise in blood pressure. If the doctor is contemplating in giving TPA, then keep the systolic blood pressure below 165 mmHg and diastolic blood pressure below 110 mmHg. He will further state that the blood pressure should be kept below 180/105 mmHg. He will also discuss the treatment or management if no TPA is given and the patient is on conservative treatment.