A 59-year-old man presents 2 hours after onset of left-sided weakness. Non-contrast head CT shows no hemorrhage. BP is 200/110 mm Hg, NIHSS 8, glucose...

Question

A 59-year-old man presents 2 hours after onset of left-sided weakness. Non-contrast head CT shows no hemorrhage. BP is 200/110 mm Hg, NIHSS 8, glucose 110 mg/dL. What is the best next step to enable reperfusion therapy?

Accepted Answer

Lower BP to

Answer

Administer aspirin 325 mg now

Answer

Proceed with alteplase without lowering BP

Answer

Start heparin infusion while preparing for thrombectomy

us-abem MCQ (SBA): Acute Ischemic Stroke (Thrombolysis Eligibility)

A 59-year-old man presents 2 hours after onset of left-sided weakness. Non-contrast head CT shows no hemorrhage. BP is 200/110 mm Hg, NIHSS 8, glucose 110 mg/dL. What is the best next step to enable reperfusion therapy?