Question

A 70-year-old woman presents 90 minutes after stroke onset with BP 170/100 and NIHSS 6. CT is negative for hemorrhage. Which is correct regarding antiplatelet therapy?

Accepted Answer

Defer antiplatelet therapy until after alteplase decision; give aspirin if not eligible for alteplase

Answer

Start aspirin immediately, then assess for thrombolysis

Answer

Clopidogrel loading immediately regardless of thrombolysis

Answer

Dual antiplatelet immediately plus alteplase

Answer

No antiplatelet within 7 days of stroke onset

Practice question

A 70-year-old woman presents 90 minutes after stroke onset with BP 170/100 and NIHSS 6. CT is negative for hemorrhage. Which is correct regarding antiplatelet therapy?