A 64-year-old man with poorly controlled hypertension and hyperlipidaemia presents with sudden onset right-sided weakness and expressive aphasia 90 mi...

Question

A 64-year-old man with poorly controlled hypertension and hyperlipidaemia presents with sudden onset right-sided weakness and expressive aphasia 90 minutes ago. CT brain shows no haemorrhage. He is independent at baseline and has no contraindications to thrombolysis. What is the most appropriate reperfusion therapy?

Accepted Answer

Intravenous alteplase within 4.5 hours of symptom onset

Answer

Aspirin 300 mg orally alone

Answer

Mechanical thrombectomy only

Answer

Dual antiplatelet therapy with aspirin and clopidogrel without thrombolysis

Answer

No acute intervention; start rehabilitation

au-amc MCQ (SBA): Acute ischaemic stroke