Question

A 52-year-old woman with minor stroke arrives 3 hours after onset. BP 176/98 mm Hg. Glucose 100 mg/dL. CT negative. Next step?

Accepted Answer

IV alteplase after BP control to <185/110

Answer

Mechanical thrombectomy only

Answer

Aspirin only

Answer

No reperfusion due to age <60

Answer

Lower BP to <140/90 before tPA

Practice question

A 52-year-old woman with minor stroke arrives 3 hours after onset. BP 176/98 mm Hg. Glucose 100 mg/dL. CT negative. Next step?