Embolic stroke: treatment
Evidence-based neurology checklist on embolic stroke: treatment: Anticoagulation: rationale Institute long term anticoagulation for atrial fibrillation This is better than Aspirin or Aspirin/Clopidogrel It results in a two-thirds reduction in the risk of recurrent stroke It is beneficial even in…
Anticoagulation: rationale
- Institute long term anticoagulation for atrial fibrillation
- This is better than Aspirin or Aspirin/Clopidogrel
- It results in a two-thirds reduction in the risk of recurrent stroke
- It is beneficial even in the very old
- Risk of falls should not deter anticoagulation
Anticoagulation: protocol
Recurrent embolic stroke on therapeutic anticoagulation: management
References
- Vahedi K, Amarenco P. Cardiac causes of stroke. Curr Treat Options Neurol 2000; 2:305-317.
- Agarwal MB, Verma S, Mahapatra M, et al. Balancing efficacy and bleeding risk in the prevention of stroke due to atrial fibrillation with newer oral anticoagulants. Indian J Hematol Blood Transfus 2012; 28:129-143.
- Appelros P, Farahmand B, Terént A, Åsberg S. To treat or not to treat: anticoagulants as secondary preventives to the oldest old with atrial fibrillation. Stroke 2017; 48:1617-1623.
- Man-Son-Hing M, Nichol G, Lau A, et al. Choosing antithrombotic therapy for elderly patients with atrial fibrillation who are at risk of falls. Arch Intern Med 1999; 159:677-685.
- Dehbi HM, Fischer U, Åsberg S, et al. Collaboration on the optimal timing of anticoagulation after ischaemic stroke and atrial fibrillation: a systematic review and prospective individual participant data meta-analysis of randomised controlled trials (CATALYST). Lancet 2025; 406:43-51.
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