Question

A 72-year-old with a minor stroke (NIHSS 3) 2 hours ago has BP 176/98 mm Hg and glucose 120 mg/dL. CT negative for hemorrhage. What reperfusion strategy is appropriate?

Accepted Answer

Start IV alteplase after ensuring BP <185/110 mm Hg

Answer

Wait for MRI before treatment

Answer

Withhold alteplase because NIHSS <5

Answer

Give full-dose heparin and aspirin

Answer

Delay therapy to observe evolution

Practice question

A 72-year-old with a minor stroke (NIHSS 3) 2 hours ago has BP 176/98 mm Hg and glucose 120 mg/dL. CT negative for hemorrhage. What reperfusion strategy is appropriate?