A 65-year-old female presents with acute right-sided weakness and aphasia, diagnosed as an acute ischemic stroke affecting the left middle cerebral artery territory. She receives IV tPA and her symptoms improve significantly. She has a history of hypertension and hyperlipidemia. Carotid ultrasound shows <50% stenosis bilaterally. What is the most appropriate long-term secondary stroke prevention strategy?
✓ Correct Answer: Option B
For secondary prevention after an acute ischemic stroke not caused by cardioembolism, high-intensity statin therapy and antiplatelet therapy (e.g., aspirin) are cornerstone treatments to reduce the risk of future vascular events. Blood pressure control is also critical.