A 70-year-old with acute right hemiparesis presents 90 minutes after onset. CT head excludes hemorrhage; BP 172/98 mm Hg, glucose 128 mg/dL, NIHSS 12....

Question

A 70-year-old with acute right hemiparesis presents 90 minutes after onset. CT head excludes hemorrhage; BP 172/98 mm Hg, glucose 128 mg/dL, NIHSS 12. What is indicated?

Accepted Answer

IV alteplase after BP lowering to

Answer

IV heparin infusion instead of thrombolysis

Answer

Delay therapy until MRI

Answer

Mechanical thrombectomy only

Answer

No reperfusion; start aspirin now

us-abem MCQ (SBA): Acute Ischemic Stroke-IV Thrombolysis

A 70-year-old with acute right hemiparesis presents 90 minutes after onset. CT head excludes hemorrhage; BP 172/98 mm Hg, glucose 128 mg/dL, NIHSS 12. What is indicated?