Question

A 59-year-old woman presents 1 hour after onset of left-sided weakness and aphasia. CT head shows no haemorrhage. Last known well was 70 minutes ago. Blood pressure is 165/95 mmHg, glucose 7.0 mmol/L. According to the 2022 CSBPR acute stroke guideline, what is the most appropriate next step?

Accepted Answer

Administer intravenous thrombolysis with alteplase if eligibility criteria are met

Answer

Withhold reperfusion and start aspirin only

Answer

Wait for MRI before making a decision

Answer

Lower blood pressure to <140/90 mmHg before any reperfusion

Answer

Delay treatment until family can provide written consent

Practice question

A 59-year-old woman presents 1 hour after onset of left-sided weakness and aphasia. CT head shows no haemorrhage. Last known well was 70 minutes ago. Blood pressure is 165/95 mmHg, glucose 7.0 mmol/L. According to the 2022 CSBPR acute stroke guideline, what is the most appropriate next step?