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 <185/110 mm Hg then give alteplase

Answer

No BP treatment; proceed to alteplase

Answer

Lower to SBP <140 before alteplase

Answer

Delay alteplase until SBP <160

Answer

Avoid any BP meds due to risk of hypotension

Practice 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?