Question

A 64-year-old 2 hours after stroke onset (NIHSS 8) has BP 198/112 mmHg and CT excludes hemorrhage. What is the next best step?

Accepted Answer

Lower BP to <185/110 mmHg then administer IV alteplase

Answer

Give IV alteplase immediately at current BP

Answer

Start aspirin 325 mg now and defer alteplase

Answer

Begin dual antiplatelet therapy for 21 days

Answer

Immediate mechanical thrombectomy only

Practice question

A 64-year-old 2 hours after stroke onset (NIHSS 8) has BP 198/112 mmHg and CT excludes hemorrhage. What is the next best step?