How do you approach evaluating the hemorrhage risk of restarting anticoagulation in a patient with ischemic stroke and infective endocarditis without access to DSA?

This is a really excellent question. First of all, if the patient has infective endocarditis, they really should undergo appropriate antibiotic treatment prior to initiating anticoagulation. I have seen several patients have significant (and in some cases fatal) hemorrhages because anticoagulation w...

Antithrombotic treatment decisions in bacterial endocarditis are frequently challenging given the high-risk nature of the condition for both thromboembolic and hemorrhagic complications, heterogeneous patient population, and relative paucity of data.

I understand the question to be specific to a situ...