A 64-year-old with acute right-sided weakness arrives 120 minutes after last known well. CT head shows no hemorrhage. BP is 198/112 mm Hg, NIHSS 12. What is the most appropriate next step?ALower BP to <185/110 mm Hg and administer IV alteplase (0.9 mg/kg) within the 4.5-hour window.BGive aspirin now and delay thrombolysis until 24 hours.CProceed directly to mechanical thrombectomy and avoid thrombolysis.DAllow permissive hypertension up to 220/120 mm Hg and reassess in 6 hours.EStart IV heparin infusion for presumed thrombus.Check my answer