A 58-year-old develops sudden aphasia and right facial droop 2 hours ago. CT head shows no hemorrhage. BP is 200/110 mm Hg, glucose 120 mg/dL, platelets 220k, INR 1.0. What is the best next step?AGive aspirin 325 mg nowBAllow permissive hypertension and avoid thrombolysisCLower BP and administer alteplase 0.9 mg/kg IV (maximum 90 mg) within the 4.5-hour windowDAdminister tenecteplase 0.5 mg/kg IVEProceed directly to mechanical thrombectomy aloneCheck my answer