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When do you consider starting an antiplatelet in a patient with stoke due to septic emboli?

Do you initiate them during the antibiotic course or after and if so, how long after? Should one get repeat vessel imaging prior initiation of antiplatelets to confirm no mycotic aneurysms?
1 Answer
Mednet Member
Mednet MemberInvited Expert
Neurology · Stony Brook University Hospital
Answered on

Hello,

This is a very complex question and not a lot of great data are available on the matter.

Most experts, myself included, would consider starting a baby aspirin to be relatively safe in an individual with a stroke from suspected septic emboli. This viewpoint may need to be adjusted depending on...

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