Question

A 68-year-old woman presents with acute onset right-sided weakness and aphasia 1 hour after symptom onset. CT brain shows no haemorrhage. Blood pressure is 190/110 mmHg. She is otherwise suitable for intravenous thrombolysis. According to Australian stroke guidelines, which is the most appropriate blood pressure target before starting thrombolysis?

Accepted Answer

Systolic blood pressure <185 mmHg and diastolic ≤110 mmHg

Answer

No specific blood pressure target is required before thrombolysis

Answer

Systolic blood pressure <220 mmHg and diastolic <120 mmHg

Answer

Systolic blood pressure <160 mmHg and diastolic ≤90 mmHg

Answer

Systolic blood pressure <140 mmHg and diastolic ≤90 mmHg

Practice question