Question

A 65-year-old male with a history of atrial fibrillation presents with acute left-sided weakness and facial droop. CT shows an ischaemic stroke in the right MCA territory. He arrived 1 hour after onset. What is the recommended acute treatment if there are no contraindications?

Accepted Answer

Thrombolysis with IV alteplase

Answer

Aspirin 300 mg immediately

Answer

Mechanical thrombectomy

Answer

Dual antiplatelet therapy

Answer

Start a direct oral anticoagulant

Practice question

A 65-year-old male with a history of atrial fibrillation presents with acute left-sided weakness and facial droop. CT shows an ischaemic stroke in the right MCA territory. He arrived 1 hour after onset. What is the recommended acute treatment if there are no contraindications?