A patient with suspected ischemic stroke arrives 2 hours after onset with BP 198/112 mm Hg and otherwise eligible for IV alteplase. Best immediate BP ...

Question

A patient with suspected ischemic stroke arrives 2 hours after onset with BP 198/112 mm Hg and otherwise eligible for IV alteplase. Best immediate BP plan?

Accepted Answer

Lower BP to

Answer

No BP treatment; proceed to alteplase

Answer

Lower to SBP

Answer

Delay alteplase until SBP

Answer

Avoid any BP meds due to risk of hypotension

us-abem MCQ (SBA): Acute Ischemic Stroke (BP pre-tPA)

A patient with suspected ischemic stroke arrives 2 hours after onset with BP 198/112 mm Hg and otherwise eligible for IV alteplase. Best immediate BP plan?