Question

A 70-year-old with acute ischemic stroke presents 2 hours from onset, BP 178/102, CT negative for bleed, NIHSS 7. Best immediate intervention?

Accepted Answer

IV alteplase after lowering BP to ≤185/110

Answer

Permissive hypertension only

Answer

Start aspirin now; no thrombolysis

Answer

Mechanical thrombectomy only

Answer

Dual antiplatelet therapy immediately

Practice question

A 70-year-old with acute ischemic stroke presents 2 hours from onset, BP 178/102, CT negative for bleed, NIHSS 7. Best immediate intervention?