Question

A 63-year-old with suspected acute ischaemic stroke presents 2 hours after onset; CT shows no haemorrhage. BP 170/98 mm Hg, glucose 140 mg/dL, NIHSS 8. Best acute therapy?

Accepted Answer

IV alteplase within 4.5 hours after blood pressure lowered if needed

Answer

Aspirin 325 mg immediately; avoid thrombolysis

Answer

Mechanical thrombectomy only if NIHSS >=10

Answer

Wait for MRI before therapy

Answer

IV heparin infusion

Practice question

A 63-year-old with suspected acute ischaemic stroke presents 2 hours after onset; CT shows no haemorrhage. BP 170/98 mm Hg, glucose 140 mg/dL, NIHSS 8. Best acute therapy?