Question

A 66-year-old presents 90 minutes after acute hemiparesis; head CT shows no bleed. BP is 178/110 mm Hg. What is the next step?

Accepted Answer

Lower BP to <185/110 mm Hg and give IV alteplase 0.9 mg/kg

Answer

Give IV alteplase without BP control

Answer

Start aspirin now and defer reperfusion

Answer

Begin IV heparin infusion

Answer

Delay therapy until MRI is obtained

Practice question

A 66-year-old presents 90 minutes after acute hemiparesis; head CT shows no bleed. BP is 178/110 mm Hg. What is the next step?