A 64-year-old presents 2 hours after sudden right-sided weakness. BP is 186/108 mmHg; CT head shows no hemorrhage. What is the next best step?...

Question

A 64-year-old presents 2 hours after sudden right-sided weakness. BP is 186/108 mmHg; CT head shows no hemorrhage. What is the next best step?

Accepted Answer

Lower BP to

Answer

Proceed with IV alteplase immediately without BP adjustment

Answer

Delay thrombolysis for MRI perfusion despite eligibility

Answer

Begin dual antiplatelet therapy instead of thrombolysis

Answer

Allow permissive hypertension to 220/120 mmHg and reassess in 24 hours

us-abem MCQ (SBA): Acute Ischemic Stroke