Question

A 69-year-old man presents within 1.5 hours of sudden onset left-sided weakness and aphasia. CT head shows no haemorrhage. Blood pressure is 175/100 mm Hg, and glucose is 7 mmol/L. According to Canadian stroke thrombolysis criteria, what is the most appropriate next step?

Accepted Answer

Administer intravenous thrombolysis with alteplase after confirming eligibility

Answer

Delay therapy until MRI is available

Answer

Start aspirin only

Answer

Discharge home because symptoms may improve spontaneously

Answer

Withhold thrombolysis because he is older than 65 years

Practice question

A 69-year-old man presents within 1.5 hours of sudden onset left-sided weakness and aphasia. CT head shows no haemorrhage. Blood pressure is 175/100 mm Hg, and glucose is 7 mmol/L. According to Canadian stroke thrombolysis criteria, what is the most appropriate next step?