Question

A 58-year-old man presents with suspected acute ischemic stroke 2 hours after onset. BP 182/104 mm Hg. What must be achieved before IV alteplase?

Accepted Answer

Lower BP to <185/110 mm Hg before alteplase

Answer

Lower BP to <140/90 mm Hg before alteplase

Answer

No BP threshold-give alteplase now

Answer

Start dual antiplatelet therapy instead

Answer

Wait until BP falls spontaneously

Practice question

A 58-year-old man presents with suspected acute ischemic stroke 2 hours after onset. BP 182/104 mm Hg. What must be achieved before IV alteplase?