Question

A 58-year-old man presents with acute onset right-sided weakness and aphasia 90 minutes after symptom onset. CT head shows no haemorrhage. Blood pressure is 165/95 mm Hg, glucose 7.0 mmol/L. According to Canadian Stroke Best Practice Recommendations, what is the most appropriate next step?

Accepted Answer

Administer intravenous thrombolysis with alteplase if no contraindications

Answer

Start aspirin 81 mg and admit to stroke unit only

Answer

Defer treatment and repeat CT in 24 hours

Answer

Lower blood pressure to 120/80 mm Hg before any therapy

Answer

Start therapeutic low-molecular-weight heparin

Practice question

A 58-year-old man presents with acute onset right-sided weakness and aphasia 90 minutes after symptom onset. CT head shows no haemorrhage. Blood pressure is 165/95 mm Hg, glucose 7.0 mmol/L. According to Canadian Stroke Best Practice Recommendations, what is the most appropriate next step?