A 68-year-old man presents to the emergency department with right-sided weakness and dysphasia that began 90 minutes ago. CT brain shows no haemorrhag...

Question

A 68-year-old man presents to the emergency department with right-sided weakness and dysphasia that began 90 minutes ago. CT brain shows no haemorrhage. He has no contraindications to thrombolysis, but his blood pressure is 200/110 mmHg. According to current Australian stroke guidelines, what is the most appropriate blood pressure management before administering intravenous thrombolysis?

Accepted Answer

Reduce blood pressure to below 185/110 mmHg then give thrombolysis

Answer

Proceed with thrombolysis without treating blood pressure

Answer

Delay thrombolysis until blood pressure is below 160/90 mmHg

Answer

Delay thrombolysis until blood pressure is below 140/80 mmHg

Answer

Abort thrombolysis because the presenting blood pressure is too high

au-amc MCQ (SBA): Acute ischaemic stroke and thrombolysis