Mednet Logo

Would you recommend holding anticoagulation in a patient with persistent atrial fibrillation presenting with a mechanical fall and found to have a scalp hematoma in the absence of intracranial bleeding?

If so, how long would you recommend holding it for?
Community PollStarted

Would you recommend holding anticoagulation in a patient with persistent atrial fibrillation who presents with a mechanical fall and is found to have a scalp hematoma, but no intracranial bleeding?

63 physicians have voted

Join Mednetto vote and see how they answered.

1 Answer
Mednet Member
Mednet MemberInvited Expert
Cardiology · Lankenau Heart Group
Answered on

I would not hold anticoagulation in this situation, particularly if the patient has high vascular risk. However, there are a few caveats. First, I would seek an expert opinion about the strength of evidence that an intracranial bleed had not occurred and that it was unlikely to occur later. I would ...

Join for free or sign in to see the full answer