A 70-year-old with acute ischemic stroke receives alteplase. When should antiplatelet therapy be started?...

Question

A 70-year-old with acute ischemic stroke receives alteplase. When should antiplatelet therapy be started?

Accepted Answer

Never start antiplatelets after tPA

Answer

Immediately after tPA

Answer

After 2 hours if no bleeding signs

Answer

After 24 hours and repeat CT rules out hemorrhage

Answer

Only if NIHSS >10

us-abem MCQ (SBA): Post-tPA Antiplatelet Timing