 Aggressive BP Target 140 mmHg Treatment Group: Patients randomized to the 140 mmHg group n135 will immediately receive a 10 mg IV bolus of labetalol, administered over 1 minute. A protocol designed to achieve and maintain systolic BP 140 mmHg within 60 minutes of randomization has been designed Appendix 5. A key feature of this protocol is the utilization of IV enalapril, which can be given regularly Q. 6 hourly, avoiding BP fluctuations, a problem which has been noted previously when using bolus-based protocols.109 Patients randomized to the 140 mmHg group will be treated with 1.25 mg of IV enalapril immediately after labetalol administration. A lower limit of 120 mmHg has been stipulated, although given the investigators experience in ICH ADAPT I, this is unlikely to be achieved. In the event of systolic BP falling below 120 mmHg, antihypertensive therapy will be held and patients will be fluid resuscitated with isotonic saline. Pressor agents will not be used. 