A 68-year-old man presents 90 minutes after sudden onset of right-sided weakness and aphasia. CT head shows no haemorrhage. Blood pressure is 178/100 ...

Question

A 68-year-old man presents 90 minutes after sudden onset of right-sided weakness and aphasia. CT head shows no haemorrhage. Blood pressure is 178/100 mmHg, and glucose is 6.5 mmol/L. According to current Canadian stroke guidelines, what is the most appropriate next step?

Accepted Answer

Offer intravenous thrombolysis with alteplase

Answer

Start dual antiplatelet therapy only

Answer

Withhold all acute treatment and observe

Answer

Refer for elective carotid endarterectomy

Answer

Start therapeutic low molecular weight heparin

ca-mccqe1 MCQ (SBA): Acute ischaemic stroke

A 68-year-old man presents 90 minutes after sudden onset of right-sided weakness and aphasia. CT head shows no haemorrhage. Blood pressure is 178/100 mmHg, and glucose is 6.5 mmol/L. According to current Canadian stroke guidelines, what is the most appropriate next step?