Is there a stroke volume threshold you use for giving or not giving DAPT for an acute ischemic stroke?
A large stroke in cortical regions might have a low NIHSS, while a small internal capsule lacune might have a large NIHSS. ICH risk is thought to be associated with stroke volume.
Retrospective cohort: Khazaal et al., Frontiers in Neurology 2021
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Do you use DAPT in low NIHSS acute strokes that have a moderate to high volume infarct on imaging?
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Neurology · University of Minnesota
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This is not incorrect but it is only part of the story. Antiplatelet meds are rarely associated with ICH in either situation; many other factors are involved in the risk of ICH such as BP, age, and other MRI scan abnormalities.
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