Question

A 62-year-old with AF presents within 2 hours of neurologic deficit (NIHSS 6). CT excludes hemorrhage; glucose 112 mg/dL; BP 174/100. Best thrombolysis decision?

Accepted Answer

Eligible for IV alteplase after BP control <185/110

Answer

Not eligible due to AF

Answer

Wait for MRI before treatment

Answer

Start heparin infusion

Answer

Give aspirin before alteplase

Practice question

A 62-year-old with AF presents within 2 hours of neurologic deficit (NIHSS 6). CT excludes hemorrhage; glucose 112 mg/dL; BP 174/100. Best thrombolysis decision?