A 62-year-old with acute ischemic stroke (onset 90 minutes ago) has BP 208/118 mm Hg and is otherwise tPA-eligible. Best next step?...

Question

A 62-year-old with acute ischemic stroke (onset 90 minutes ago) has BP 208/118 mm Hg and is otherwise tPA-eligible. Best next step?

Accepted Answer

Lower BP to

Answer

Give IV alteplase immediately without treating blood pressure

Answer

Defer alteplase and give aspirin 325 mg now

Answer

Proceed to mechanical thrombectomy without imaging

us-abem MCQ (SBA): Acute Ischemic Stroke