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 thrombolysi...

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

Answer

Not eligible due to AF

Answer

Wait for MRI before treatment

Answer

Start heparin infusion

Answer

Give aspirin before alteplase

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

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?