18th August 2024

You are asked to review a 65-year-old man on the Coronary Care Unit due to a new neurological disturbance

You are asked to review a 65-year-old man on the Coronary Care Unit due to a new neurological disturbance. He has a history of hypertension, diabetes and chronic kidney disease and was admitted the evening prior following an NSTEMI for which he received aspirin, ticagrelor and fondaparinux. Today, he has undergone a percutaneous coronary intervention and has had a stent inserted into his left anterior descending artery via a radial approach. He was given some mild sedation during the procedure. Following the procedure, he reports that he cannot see anything in the top left corner of his vision. He reports that this was not present when he went to the procedure at 13:00. On examination, he has homonymous quadrantanopia, he also has flattening of the nasolabial fold on the left side of his face but other neurological examinations are normal. His blood pressure and blood sugar are within the normal range. His ECG is in sinus rhythm. You request an urgent CT head which does not show any haemorrhage. It is now 15:30, what should the next intervention be?

Select the SINGLE most appropriate option from the list below. Select ONE option only.