Question

A 61-year-old man with atrial fibrillation on warfarin presents with a large intracerebral haemorrhage. After neurosurgical consultation, he is managed non-operatively. According to Canadian stroke and anticoagulation guidance, when is long-term oral anticoagulation usually reconsidered for stroke prevention in atrial fibrillation after spontaneous intracerebral haemorrhage?

Accepted Answer

Consider restarting after 4-8 weeks based on individual risk-benefit assessment

Answer

Restart within 24 hours

Answer

Restart within 3 days

Answer

Never restart anticoagulation in any patient after intracerebral haemorrhage

Answer

Restart only if INR can be kept <1.5

Practice question