What are the general hemodynamic targets to avoid hypotension in a patient with ACS not in shock, and how would you approach IV antihypertensive therapy if ordered?

What are the general hemodynamic targets to avoid hypotension in a patient with ACS not in shock, and how would you approach IV antihypertensive therapy if ordered?

• A. Maintain SBP above 120 and MAP above 80; titrate IV vasodilators aggressively.
• B. Keep MAP at or above 100 at all times by IV therapy.
• C. Avoid IV antihypertensives entirely in ACS.
• D. Avoid SBP dropping below ~90-100 mmHg or MAP <65; titrate IV vasodilators/beta-blockers per protocol with continuous monitoring and frequent vital checks.

Answer: (D)