Which is the most appropriate initial treatment for Acute ischaemic stroke?
Answer and explanation
Correct answer: A. Intravenous alteplase after haemorrhage is excluded
- Step 1: Acute ischaemic stroke is treated with intravenous alteplase after haemorrhage is excluded.
Answer
Intravenous alteplase after haemorrhage is excluded.
Why not the others: 'Intravenous heparin infusion': heparin does not dissolve the clot and risks bleeding. 'Immediate lowering of blood pressure to normal': it can extend the infarct. 'Oral aspirin delayed for a week': antiplatelet therapy starts early, and thrombolysis is time-critical.
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