Question

A 65-year-old man with atrial fibrillation and hypertension presents with sudden right facial droop and arm weakness that resolves completely within 15 minutes. CT brain is normal. He arrives 3 hours after symptom onset. According to Canadian Stroke Best Practice Recommendations, which antithrombotic strategy is most appropriate for secondary prevention?

Accepted Answer

Start oral anticoagulation with a DOAC once intracranial haemorrhage is excluded

Answer

No antithrombotic therapy is required because symptoms resolved

Answer

Start aspirin 81 mg daily only

Answer

Start dual antiplatelet therapy (aspirin and clopidogrel) indefinitely

Answer

Start warfarin plus dual antiplatelet therapy

Practice question