Question

A 69-year-old with acute ischemic stroke presents 2 hours after onset. BP is 172/98 mm Hg; CT shows no hemorrhage. Which is correct regarding thrombolysis?

Accepted Answer

Alteplase 0.9 mg/kg (max 90 mg) is indicated within 3 hours if BP <185/110

Answer

tPA contraindicated due to BP above 160/90

Answer

Tenecteplase is mandatory over alteplase

Answer

Wait for MRI before any treatment

Answer

Thrombolysis only within 60 minutes of onset

Practice question

A 69-year-old with acute ischemic stroke presents 2 hours after onset. BP is 172/98 mm Hg; CT shows no hemorrhage. Which is correct regarding thrombolysis?