A 67-year-old with suspected ischemic stroke presents 2 hours after onset. BP 188/112 mm Hg. Non-contrast CT is negative for hemorrhage. Next step for...

Question

A 67-year-old with suspected ischemic stroke presents 2 hours after onset. BP 188/112 mm Hg. Non-contrast CT is negative for hemorrhage. Next step for reperfusion eligibility?

Accepted Answer

Lower BP to ≤185/110 mm Hg then give IV alteplase

Answer

Proceed with IV alteplase without BP management

Answer

Wait until 4.5 hours to treat

Answer

Give aspirin now and re-image later

Answer

Withhold tPA due to age

us-abem MCQ (SBA): Acute Ischemic Stroke-tPA Eligibility

A 67-year-old with suspected ischemic stroke presents 2 hours after onset. BP 188/112 mm Hg. Non-contrast CT is negative for hemorrhage. Next step for reperfusion eligibility?