Question

A 64-year-old presents within 3 hours of stroke onset with NIHSS 8, no bleed on CT, meets alteplase criteria. Which antiplatelet strategy is appropriate immediately?

Accepted Answer

Hold antithrombotics for 24 hours after alteplase pending repeat imaging

Answer

Give aspirin 325 mg immediately before alteplase

Answer

Start dual antiplatelet therapy immediately

Answer

Start clopidogrel now

Answer

Begin aspirin after 6 hours

Practice question

A 64-year-old presents within 3 hours of stroke onset with NIHSS 8, no bleed on CT, meets alteplase criteria. Which antiplatelet strategy is appropriate immediately?