For undifferentiated strokes, should blood pressure be reduced pre-hospital?

The INTERACT-4 trial may have finally put the question to rest

Uncontrolled hypertension is a major risk factor for both ischemic and hemorrhagic strokes. Over many years, cerebral arteries damaged by hypertension are at greater risk for developing either acute thrombosis with occlusion or loss of integrity with resultant bleeding. Maintaining blood pressure at or near the normal range (again, over long periods) r…