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 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