Question

A 50-year-old man presents with suspected stroke, onset 2 hours ago. CT head rules out haemorrhage. He has active peptic ulcer disease. According to NICE stroke guidelines, is he still eligible for thrombolysis?

Accepted Answer

Yes, but with caution and gastroprotection

Answer

No, peptic ulcer disease is an absolute contraindication

Answer

Yes, with half-dose alteplase

Answer

No, must wait 24 hours

Answer

Only if the ulcer is fully healed

Practice question

A 50-year-old man presents with suspected stroke, onset 2 hours ago. CT head rules out haemorrhage. He has active peptic ulcer disease. According to NICE stroke guidelines, is he still eligible for thrombolysis?