Stroke guidelines anticoagulation

Common Questions and Answers about Stroke guidelines anticoagulation


Avatar m tn Medical treatment aimed at reducing propagation of clot and distal embolisation has included use of antiplatelet drugs and anticoagulation. Early anticoagulation with heparin seems to reduce the chance of a complete stroke developing. Anticoagulation is recommended with intravenous heparin as soon as possible after the start of symptoms and diagnosis. Anticoagulation may be worth starting even as long as one month after presentation.
Avatar n tn Atrialfibrillation almost always starts in this manner, and then tends to become longer lasting and causing less symptoms. Generally, the guidelines recommend anticoagulation with heparin and coumadin if a fib lasts for more than 48 hours. In patients with structurally normal hearts, and age less than 65 aspirin is usually the manner of anticoagulation chosen.
Avatar f tn 92 y/o women with hx of chronic A-fib, old stroke anticoagulate with Coumadin 1 mg, now with a new stroke with right hemiplegia and aphasia, negative brain CT-Scan, brain MRI with left basal ganglia and frontoparietal ischemic stroke, tiny petechial hemorrhage, mild mass effect, no midline shift, question hold anticoagulation?
Avatar f tn 92 y/o women with history of old ischemic stroke, chronic A-fib anticoagulate with coumadin, now came with right hemiplegia, aphasia, brain ct-scan negative for stroke brain MRI with left basal ganglia and frontoparietal ischemic stroke, with tiny petechial hemorrhage, mass effect, no midline ****, hold anticoagulation? safe use ASA 81 mg and discontinue coumadin?
Avatar m tn It is not recommended in either cardio embolic stroke or hemorrhagic stroke. Anticoagulation is the treatment in the first and control of blood pressure in the second case. Take care.
Avatar m tn Hello, I cannot tolerate anticoagulation because I have von willebrands. I also have factor five leiden, MTHFR, and lipoprotein A, as well as a PFO/ASD. I had a mild stroke. I would like to have the hole closed, but cannot do either the device procedure or open heart surgery due to the combination of clotting/bleeding disorders. I am wondering if anticoagulation is needed after radio frequency closure.
Avatar n tn Will a stroke cause ripped arteries? I had a stroke I'm a 41 year old. I had the stroke in September at the beginning and had a accident in July at the end of the month.
Avatar f tn Because you are asymptomatic during AF episodes, the most important thing to do is anticoagulation medicine for stroke prevention. So I am surprised that your cardiologist didn't prescribe that for you and wants you on an AAD (anti-arrhythmic drug) instead. And I agree that with your low heart rate, it may not be a good thing. The specialist to see would be an electrophysiologist because they would have more expertize in AAD and anti-coagulants.
Avatar f tn does intermittent atrial fib occurring daily in episodes lasting 1 to 5 minutes require anticoagulation? does this nonpermanent pattern predispose one to accumulating clots in the atria? hx includes left atrial enlargement mod erate aortic and mitral regurg rbbb mod diastolic dysfunction . episodes always occur with exertion.
Avatar f tn stenting could actually potentially make the situation more difficult if it is technically complex. also, there are no real guidelines regarding whether anticoagulation should also be performed subsequent to stent placement. Potentially, damage could already have been incurred by the biliary system--at our center we probably would leave things as they are.
Avatar m tn Is there a cumumlative increase in stroke risk if you are medically rate controlled, coagulated and with blood pressure medically stable while suffering fron asymptomatic atrial fibrillation?
1013028 tn?1250923267 However, in persons with the lupus anticoagulant, the risk of recurrence of both arterial and venous thrombotic episodes is very high. Some patients may need to be on long-term oral anticoagulation. Some may need to be on anticoagulation for the whole life. Plavix, similar to Aspirin, is an antiplatelet drug and is effective in treating arterial clots (in cases of stroke, heart attack, peripheral arterial disease). Plavix stops platelets aggregation or prevents them from sticking together.
Avatar m tn Patients with atrial fibrillation are prone to developing blood clots within their heart which is often times why patients are on anticoagulation (blood thinning medications). If one of these clots dislodge and travel to other parts of the bodies (brain, legs, etc.) this can cause significant problems (stroke, ischemic limb, etc). If your leg is cold, painful, and/or changing color (blue, etc), please seek immediate medical attention for evaluation.
Avatar m tn My question concerns the pros and cons of adding a baby aspirin to the Coumadin therapy, mainly with respect to stroke prevention. My level of physical activity does increase bleeding risks somewhat in terms of musculoskeletal injury, and I am aware of the risk for G.I. bleed being increased with Aspirin as well.
Avatar f tn I am a 30 yr old female wanting to get pregnant soon. I had a stroke in 2006 as a result of occluded middle cereral artery and was subsequently diagnosed with Moya Moya. I had a stent that failed and then had STA-MCA bypass and EADS in 2007. The prognosis has been improving (at last check, the artery was wide open again, and I had good flow through the bypass). I have been on Plavix daily and recently switched to aspirin 81mg.
Avatar n tn I am 36 and had a massive Rt. hemispheric stroke 2yrs ago (18mos after the birth of my daughter)....most likely caused by birth control pills...luckily, my neurointerventionalist was able to use the MERCI retrieval system and I have made a total recovery with no rehab necessary! Anyway, now I have to take Plavix, and I'm considering getting pregnant again. It is scary b/c none of my doctors want to tell me "yes" or "no", they say it's up to me!!
Avatar n tn you're welcome. After such major, major surgery, you should report EVERYTHING, and let the docs decide if it's significant or not. Also, I'd have him moving as much as possible every day. Being sedentary can result in blood clots in the legs, which can be very bad. I'd ask the docs if he is on "anticoagulation" to prevent clots. If not, I'd ask for it. I'd want graded compression stockings, not the unilateral graded kind. And so on.
Avatar f tn That made the recovery difficult,but the foot started getting back up again,toe by toe.The,a month after her op,self-initiatively,she stopped taking her anticoagulation drugs,thrombosis caused a massive stroke and,a year on,at 59,she is paralised and cannot say a word,depressed,in bed-sores,in hell. CT scan revealed two more old milder strokes,almost certainly it is what caused her previous,undiagnosed problems.
Avatar m tn I started @ age 17 with a ruptured cerebral aneurysm, 2-strokes (1-hemmorhagic, 1-ischemic), 8-blood clots 4 in L-Leg, 1 in R-Leg, 1 that traveled thru the chambers of my heart (causing my enzime levels to elevate and causing a heart attack), 1 on my brain-causing a ischemic stroke and finally 1 that traveled all through my system and causing a T.I.A. I have had a clot break-up and travel into my lungs (the first one). Currently I am on lifetime Coumadin therepy with an INR of 4.5.
Avatar n tn If this is your first occurance of atrial fibrillation, the first step is usually anticoagulation and cardioversion (brief shock while you are sedated to bring you back to a normal rhythm). At your age, if you have no other risk factors of stroke, aspirin is usually sufficient for anticoagulation. If your heart rate is easily controlled and you are not having significant symptoms, medical management is probably enough.
Avatar n tn It is debateable how best to treat this but most cardiologists put people with these findings on a full dose aspirin (325mg)daily; if there has been a stroke we would consider anticoagulation with a blood thinner.
Avatar n tn The basilar artery is a single major artery in the front of the brainstem which supplies several vital structures in the brain (pons, midbrain, upper cerebellar hemispheres, and thalami). Some of these structures are vital for survival. Various types of stroke can occur because of a compromise of blood flow through the basilar artery.