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HardNeurologyAcute ischaemic stroke/TIAau-amcau-racpau-acem

A 58-year-old man presents with transient right arm weakness and dysphasia lasting 30 minutes which has fully resolved on arrival. CT brain shows no haemorrhage. He has atrial fibrillation not on anticoagulation. It has been 90 minutes since symptom onset. According to acute stroke and TIA guidelines, what is the most appropriate immediate management step?

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