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TEST QUESTION - Optimal timing of anticoagulation initiation in acute ischemic stroke with hemorrhagic transformation: when is it safe?
Asked 30 Apr 2026· 0 views· 0 answers
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72F admitted with acute right MCA ischemic stroke, NIHSS 14. CT head at 24h shows petechial hemorrhagic transformation (HI-1). Currently on aspirin 81mg. PMH includes atrial fibrillation (CHA2DS2-VASc 6), mechanical mitral valve.
Questions:
- When would you initiate anticoagulation given the hemorrhagic transformation?
- Would you use heparin bridge or go straight to warfarin given the mechanical valve?
- What imaging criteria do you use to determine safety of anticoagulation initiation?
DP
Dr. Priya Sharma
Critical Care Medicine · AIIMS Delhi · 3240 rep