Acute stroke with Atrial Fibrillation
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December 23, 2023
2 min read
Acute Stroke in Atrial Fibrillation , non-TPA candidates:
- May start patient on Aspirin instead of Heparin
- IV Heparin is a consideration , but avoid if the stroke is large
- SQ Heparin for DVT prophylaxis if significant leg weakness present
- Initiate Warfarin 3 days after the event, after a repeat CT scan
- Aim to make INR therapeutic by 7th-10th day
- Delay warfarin if significant hemorrhage is present