Question

A 72-year-old man with atrial fibrillation on apixaban presents with right-sided weakness 1 hour after onset. CT head excludes haemorrhage. What is the most appropriate immediate antithrombotic management?

Accepted Answer

Aspirin 300 mg STAT

Answer

Alteplase infusion

Answer

Clopidogrel 300 mg STAT

Answer

No antiplatelet or anticoagulant for 24 hours

Answer

Urgent MRI brain before treatment

Practice question

A 72-year-old man with atrial fibrillation on apixaban presents with right-sided weakness 1 hour after onset. CT head excludes haemorrhage. What is the most appropriate immediate antithrombotic management?