Question

A 65-year-old with acute ischemic stroke treated with IV alteplase asks about when to start antiplatelet therapy. CT 24 h shows no hemorrhage. What is recommended?

Accepted Answer

Start aspirin after 24 hours post-tPA once repeat imaging excludes hemorrhage

Answer

Start aspirin immediately after alteplase

Answer

Wait 7 days to start

Answer

Start dual antiplatelet immediately after tPA

Answer

Avoid antiplatelet permanently

Practice question

A 65-year-old with acute ischemic stroke treated with IV alteplase asks about when to start antiplatelet therapy. CT 24 h shows no hemorrhage. What is recommended?