Acute stroke management in patients with known or suspected atrial fibrillation.
Can J Cardiol
; 29(7 Suppl): S45-53, 2013 Jul.
Article
en En
| MEDLINE
| ID: mdl-23790598
ABSTRACT
Atrial fibrillation (AF) is an important cause of ischemic stroke, especially in older individuals. Strokes attributed to AF are often large and result in a high rate of fatality. The new oral anticoagulants offer advantages over warfarin in terms of dosing, pharmacokinetic characteristics, and lower rates of intracranial hemorrhage, but pose new management questions for physicians treating these patients. The management of acute stroke is not modified by the presence of AF, but is unique with respect to management of anticoagulation in the hyperacute and acute phases. We will review and discuss acute treatment options in anticoagulated patients with ischemic stroke, anticoagulation discontinuation, and timing of initiation with old and new oral anticoagulants, and managing intracranial hemorrhage in anticoagulated patients. We will end by briefly discussing investigations of stroke patients with suspected cardioembolic stroke.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Fibrilación Atrial
/
Coagulación Sanguínea
/
Accidente Cerebrovascular
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Hemorragias Intracraneales
/
Anticoagulantes
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Humans
Idioma:
En
Revista:
Can J Cardiol
Asunto de la revista:
CARDIOLOGIA
Año:
2013
Tipo del documento:
Article
País de afiliación:
Canadá