A 63-year-old man presents 90 minutes after sudden onset of right-sided weakness and aphasia. CT head shows no haemorrhage. Blood pressure is 170/96 m...

Question

A 63-year-old man presents 90 minutes after sudden onset of right-sided weakness and aphasia. CT head shows no haemorrhage. Blood pressure is 170/96 mm Hg, glucose 6.0 mmol/L and there are no contraindications to thrombolysis. According to Canadian stroke guidelines, what is the most appropriate management?

Accepted Answer

Administer intravenous alteplase as soon as possible

Answer

Delay thrombolysis until 6 hours after symptom onset

Answer

Avoid thrombolysis due to age

Answer

Start dual antiplatelet therapy only

Answer

Admit for observation without acute treatment

ca-mccqe1 MCQ (SBA): Acute ischaemic stroke