What is the optimal antithrombotic management, if at all, in patients with incidentally identified findings of multiple silent embolic appearing cerebral infarcts?
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3 Answers
Mednet Member
Neurology · HCA Houston Healthcare
It is important to confirm the pattern is embolic. If unsure, input from a specialized physician (such as vascular neurology or neuro-radiology, if available) can aid in confirming the diagnosis. Various white matter findings may mimic an embolic pattern, and distinguishing between unilateral...
Mednet Member
Neurology · Vanderbilt University Medical Center
Since anticoagulation with apixaban did not show superiority to antiplatelet therapy in the atrial cardiopathy study (ARCADIA trial), I see no reason to use anticoagulation, pending further evidence. Antiplatelet therapy and statin are indicated after an ischemic stroke.
Atrial cardiopathy is in an ...
Mednet Member
Neurology · University of Virginia, School of Medicine
I would start with aspirin and complete the stroke workup. The work and the etiology identified will truly guide further in terms of changing antithrombotic treatment or adding something. For example is there a thrombus or a heterogenous plaque in the aortic arch, is there an anatomic variation with...