Question

A 58-year-old with acute ischemic stroke arrives 2 hours after onset. BP 170/95, CT negative for hemorrhage. What is the next step regarding reperfusion?

Accepted Answer

IV alteplase within 4.5 hours if eligible

Answer

Permissive hypertension to 220/120; no thrombolysis

Answer

Thrombolysis only within 3 hours

Answer

Thrombectomy only; no IV therapy

Answer

Delay treatment until MRI

Practice question

A 58-year-old with acute ischemic stroke arrives 2 hours after onset. BP 170/95, CT negative for hemorrhage. What is the next step regarding reperfusion?