A 67-year-old with TIA and atrial fibrillation is to start anticoagulation. CT shows small non-hemorrhagic infarct. When is it reasonable to start DOA...

Question

A 67-year-old with TIA and atrial fibrillation is to start anticoagulation. CT shows small non-hemorrhagic infarct. When is it reasonable to start DOAC?

Accepted Answer

After a short delay (e.g., 3-5 days) for small infarct

Answer

Within 24 hours regardless of infarct size

Answer

Immediately during tPA infusion

Answer

Wait at least 14 days for all

Answer

Never start due to bleed risk

us-abim MCQ (SBA): AF After Stroke/TIA (Timing)

A 67-year-old with TIA and atrial fibrillation is to start anticoagulation. CT shows small non-hemorrhagic infarct. When is it reasonable to start DOAC?